高分辨力CT在肾移植术后疑似肺炎患者中的应用价值  

Value of High-Resolution CT in the Diagnosis of Suspected Pneumonia in Kidney Transplant Patients

作　　者：张鹏宇[1] 金先桥[1] 顾爱华[2] 

机构地区：[1]上海交通大学附属第一人民医院呼吸科,200080 [2]上海交通大学附属第一人民医院放射科,200080

出　　处：《放射学实践》2006年第9期907-909,共3页Radiologic Practice

摘　　要：目的:评价高分辨率CT(HRCT)在诊断肾移植术后疑似肺炎中的应用价值。方法:33例肾移植术后疑似肺炎患者行胸片、胸部HRCT检查。所有患者均经影像学、实验室检查及临床随访而明确诊断。对33例患者的胸片和HRCT图像进行回顾性对比分析。结果:33例中10例(30.3%)胸片未见异常,其中9例HRCT提示肺炎并最终证实;23例胸片和HRCT均见异常,22例最终证实为肺炎,其中18例HRCT可提供更多更准确的信息,仅4例(12.1%)胸片与HRCT及最终诊断结果基本一致。结论:HRCT较胸片更敏感,有助于早期确诊肺炎,所有疑似肺炎的肾移植患者均应行HRCT检查,肾移植术后肺炎常见HRCT改变为磨玻璃样改变、小结节影和小片状实变。Objective： To assess the value of High-Resolution CT （HRCT） in the diagnosis of suspected pneumonia in kidney transplant patients. Methods： 33 kidney transplant patients with clinically suspected pneumonia underwent chest radiography,pulmonary HRCT, other related laboratory tests and clinical follow up. The findings on chest radiography and H RCT were analyzed retrospectively. Results：Of the 33 kidney transplant patients, 10 patients （30. 3 %） had normal findings on chest radiography, but HRCT findings were suggestive of pneumonia in 9 patients. In 23 patients, both chest radiographs and HRCT showed abnormal features, but HRCT provided more accurate information. Only in 4 patients （12.2 %）, the chest radiographic findings were consistent with that of HRCT. Conclusion： HRCT is more sensitive than chest radiograph in the diagnosis of pnermonia. HRCT should be undertaken in all kidney transplant patients with clinically suspected pneumonia. Ground glass opacity, small nodules and small areas of consolidation are the most common HRCT manifestations,which can help diagnosis of pneumonia at the early stage.

关 键 词：肺炎 肾移植 体层摄影术 X线计算机 

分 类 号：R699.2[医药卫生—泌尿科学] R563.1[医药卫生—外科学]