458例儿童支原体肺炎影像学表现的临床分析  

Clinical Analysis of 458 Cases of Mycoplasma Pneumonia in Children Imaging Findings

作　　者：李安红[1] 甘泉涌[2] 高延伟[2] 

机构地区：[1]襄阳市中心医院放射科,湖北襄阳441021 [2]襄阳职业技术学院医学院,湖北襄阳441021

出　　处：《襄阳职业技术学院学报》2016年第5期28-30,共3页Journal of Xiangyang Polytechnic

摘　　要：目的探讨支原体肺炎患儿的肺部影像学特征,为儿科支原体肺炎的诊断提供依据。方法选取2014年1月至2015年12月在襄阳市中心医院儿科住院的458例支原体肺炎患儿为研究组,同时选取50名健康儿童作为对照组,所有儿童均行血常规检查、特异性抗体检查和胸部X线检查。结果 458例支原体肺炎患儿的胸部X线片肺部阴影出现率明显高于对照组,差异极具统计学意义(P<0.01)。阴影出现部位单侧下叶为主,阴影特点以肺纹理增粗为主。与治疗前影像学结果相比,系统治疗后的患儿胸部X线片检查异常率明显降低,患儿不同的X线片改变特征两两比较,差异均无统计学意义(P>0.05)。结论支原体肺炎患儿的肺部X线片异常特征明显、特异性强,可作为临床疑似支原体肺炎患儿的首选检查,结合血清抗体检查,可提高疾病诊断的准确率。Objective To discuss the lung imaging features in children with mycoplasma pneumonia so as to provide diagnostic criteria for the diagnosis of mycoplasma pneumonia. Methods 458 cases of children mycoplasma pneumonia from January 2014 to December 2015 in our hospital were chosen as study group, and 50 healthy children were selected as control group, all the children were given blood tests, specific antibody tests and chest X-ray examination. Results Chest X-ray lung shadows rate of 458 cases of study group was significantly higher than control group, the difference of them was significant statistically（P 〈0.01）. Part of a unilateral shadow appears under the main leaf, shadow markings thickening characteristics to the main. Compared with the previous imaging results of the treatment, patients chest X-ray abnormalities rate system after treatment was significantly lower in children with different X-ray changes characteristic pairwise comparisons showed no significant difference（P 〉0.05）. Conclusion Chest X-ray anomalies in children with mycoplasma pneumonia apparent specificity, as mycoplasma pneumonia in children with clinical suspicion of first choice, combined with serum antibody test, can improve the accuracy of disease diagnosis.

关 键 词：儿童支原体肺炎 血常规 特异性抗体 X线胸片 

分 类 号：R445[医药卫生—影像医学与核医学]