肺撕裂伤的256层螺旋CT诊断研究  

Analysis of 256-slice spiral CT in the diagnosis of pulmonary laceration

作　　者：赵鹤亮[1] 洪波[2] 赵新斌[1] 张惠英[1] 

机构地区：[1]河北联合大学附属医院CT室,河北唐山063000 [2]河北联合大学附属医院放射科,河北唐山063000

出　　处：《临床肺科杂志》2014年第9期1576-1578,共3页Journal of Clinical Pulmonary Medicine

基　　金：2013年唐山市科技局科技指令性计划项目(No 13130273z);2012年河北联合大学青年科学基金项目(No z201229)

摘　　要：目的对256层螺旋CT检查肺撕裂伤的结果进行分析。方法对我院146例肺撕裂伤患者的临床资料以及CT检查结果进行回顾性分析。结果 146例患者中,右肺上叶、中叶、下叶分别为48例、26例、80例,左肺上叶、下叶分别为54例、64例。共累计224个病灶,其中肺周边区及胸膜下的病灶占78.57%(176个病灶),肺中心区域的病灶占21.43%(48个病灶),病灶位置相比差异有统计学意义(P<0.05)。并且肺周边区及胸膜下病灶累及一个肺叶、两个肺叶的数量远远多于肺中心区域,差异有统计学意义(P<0.05)。CT检查显示,气液囊组的人数与其他两组相比,差异有统计学意义(P<0.01)。而且气液囊组的病灶数也远远多于气囊组和血肿组,差异有统计学意义(P<0.01)。同时,血肿组患者的病灶大小明显小于其他两组,差异有统计学意义(P<0.01)。结论 256层螺旋CT用于肺撕裂伤检查及诊断效果较佳,对此病症的救治极具参考价值,值得广泛应用。Objective To explore the value of 256-slice spiral CT （ MSCT） in the diagnosis of pulmonary laceration. Methods The clinical data and CT examination results of 146 patients with pulmonary laceration were retrospectively analyzed. Results There were 48 cases of right upper lobe, 26 cases of right middle lobe, and 80 ca-ses of right lower lobe. There were 54 cases of left upper lobe and 64 cases of left lower lobe respectively. There were 224 lesions, including 78. 57% of pulmonary peripheral area and sub pulmonary laceration lesions （176 lesions）, and 21. 43% of lung lesions of the central region （48 lesions）. There were significant differences in pulmonary pe-ripheral area and sub pulmonary laceration lesions, and the number of two normal center area （P〈0. 05）. CT exam-ination showed significant difference between the number of gas and liquid capsule group and the other two groups （ P〈0. 01）. Conclusion The diagnosis effect of 256-slice CT for pulmonary laceration checking is good.

关 键 词：肺撕裂伤 胸部外伤 

分 类 号：R655[医药卫生—外科学] R816.4[医药卫生—临床医学]