常见结缔组织病肺部间质病变的HRCT诊断及鉴别诊断  

HRCT Diagnosis and Differential Diagnosis of Interstitial Lung Disease Caused by Common Connective Tissue Disease

作　　者：蔡辉[1] 黄文清[1] 汪淑敏[1] 

机构地区：[1]广东省潮州市中心医院放射科,广东潮州521021

出　　处：《临床医学工程》2013年第7期787-788,共2页Clinical Medicine & Engineering

摘　　要：目的对常见结缔组织病肺部间质病变的HRCT(high-resolution CT)的诊断及鉴别诊断进行总结和分析。方法选取2009年10月至2012年10月我院收治的常见结缔组织疾病肺部病变患者162例患者,随机分为甲组和乙组。甲组患者80例,采用常规方法进行诊断和鉴别诊断;乙组患者82例,应用HRCT诊断机进行诊断和鉴别诊断。结果乙组患者诊断率、误诊率显著优越于甲组患者,差异性显著,具有统计学意义(P<0.05)。乙组患者肺部疾病诊断分型显著优越于甲组患者,差异性显著,具有统计学意义(P<0.05)。两组患者均未发生严重不良后果。结论采用HRCT诊断机进行诊断常见的结缔组织病肺部间质病变,可有效地提高患者的临床诊断率,降低误诊率,显著提高肺部间质病变的分型,且安全性较高,适宜临床应用。Objective To summarize and analyze the diagnosis and differential diagnosis of interstitial lung disease caused by common connective tissue disease （CTD-ILD） with high-resolution CT （HRCT）. Methods 162 patients with CTD-ILD in our hospital from October 2009 to October 2012 were randomly divided into two groups： Group A, 80 cases, diagnosed with traditional method; Group B, 82 cases, diagnosed with HRCT. Results In Group B, the correct diagnosis rate was higher, the misdiagnosis rate was lower, and lung disease classification was also better compared with the results in Group A. The difference between the two groups was statistically significant （P 〈0.05）. Both groups were without serious adverse consequences. Conclusions The diagnosis of interstitial lung disease caused by common connective tissue disease with HRCT can effectively increase the diagnosis rate, decrease the misdiagnosis rate, and improve the disease classification. It is safe and worthy of clinical application.

关 键 词：常见结缔组织疾病 肺部间质病变 HRCT诊断 常规检查 安全性 肺部病变分型 

分 类 号：R593.2[医药卫生—内科学]