摘要
目的评估螺旋CT三维重建技术联合纤维支气管镜在肺不张病因诊断中的临床价值。方法以2017年2月~2019年2月于我院进行诊断与治疗的84例肺不张患者为研究对象,依据随机数字表法将其划分为2组,各42例。实验组患者通过螺旋CT三维重建联合纤维支气管镜进行肺不张病因诊断,对照组患者通过纤维支气管镜进行病因诊断。分析两组肺不张患者的病因诊断阳性率,诊断检查耗时及不良反应发生率的差异。结果以病理检查结果为金标准,实验组的病因诊断阳性率为100.0%,对照组的病因诊断阳性率为92.9%。实验组的诊断检查耗时少于对照组(12.07±2.39minvs16.14±1.86min,P<0.05);实验组的不良反应(出血、呕吐、缺氧、医源性气胸、气管痉挛、心律失常)总发生率为4.8%,显著低于对照组的19.0%(P<0.05)。结论螺旋CT三维重建联合纤维支气管镜可以提高肺不张病因的诊断水平,同时减少纤维支气管镜检查所耗时间,降低检查过程中不良反应的发生率。
Objective To evaluate the value of spiral CT three-dimensional reconstruction combined with fiberoptic bronchoscopy in etiological diagnosis of atelectasis. Methods Eighty-four patients with atelectasis who were diagnosed and treated in our hospital from February 2017 to February 2019 were selected as the study subjects. According to the random number table method, the subjects were divided into two groups, 42 cases each. The experimental group was diagnosed by spiral CT three-dimensional reconstruction combined with fiberoptic bronchoscopy, while the control group was diagnosed by fiberoptic bronchoscopy. The differences of positive rate of etiological diagnosis, diagnostic examination time and incidence of adverse reactions between the two groups were analyzed. Results With pathological examination as the gold standard, the positive rate of etiological diagnosis in the experimental group was 100.0%, and the control group was 92.9%. The diagnostic time of the experimental group was 12.07±2.39 min, which was significantly shorter than that of the control group (16.14±1.86 min, P<0.05). The incidence of adverse reactions (bleeding, vomiting, hypoxia, iatrogenic pneumothorax, tracheospasm, arrhythmia) in the experimental group was 4.8%, which was significantly lower than that of the control group (19.0%, P<0.05). Conclusion The spiral CT three-dimensional reconstruction combined with fiberoptic bronchoscopy could improve the diagnostic level of etiology of atelectasis. At the same time, it can reduce the time consumed and the incidence of adverse reactions in the process of examination by fiberoptic bronchoscopy.
作者
吕绍翔
吴海华
霍敏琴
LV Shaoxiang;WU Haihua;HUO Minqin(Department of Respiratory Medicine, New Rongqi Hospital, Foshan 528300, China)
出处
《分子影像学杂志》
2019年第3期317-320,共4页
Journal of Molecular Imaging
基金
佛山市自筹经费类科技计划项目(2016AB003223)
关键词
螺旋CT
三维重建
纤维支气管镜
肺不张
病因诊断
不良反应
spiral CT
three-dimensional reconstruction
fiberoptic bronchoscopy
atelectasis
etiological diagnosis
adversereactions
