五种体位在DR胸部正位片的应用比较  

Application and comparison of five postures in DR chest radiography

作　　者：王博[1] 黄智[1] 陆志锋[1] 刘璋[1] 

机构地区：[1]广州开发区医院放射科,广州510730

出　　处：《放射学实践》2016年第10期1000-1002,共3页Radiologic Practice

摘　　要：目的：探讨DR胸部正位片双肩贴板体位在临床工作中的应用价值。方法：1500例健康体检人员行DR双肩贴板体位胸部正位片,并与常规胸片标准体位1500例、双手上举体位100例、抱板体位1500例、双手下垂体位100例比较,分析5种体位受检者摆位完成时间,受检者独立完成容易度,受检者舒适度,图像符合临床诊断率。结果：1500例受检者双肩贴板体位分别与常规胸片标准体位、双手上举体位、抱板体位、双手下垂体位比较,1h可拍摄受检者数量分别为双肩贴板体位80例;常规胸片标准体位45例;双手上举体位80例;抱板体位85例;双手下垂体位90例。受检者独立完成容易度（1~5级,1级最简单,5级最困难）：双肩贴板体位2级;常规胸片标准体位5级;双手上举体位2级;抱板体位2级;双手下垂体位1级。受检者舒适度（1~5级,1级最舒服,5级最难受）：双肩贴板体位2级;常规胸片标准体位3级;双手上举体位4级;抱板体位2级;双手下垂体位1级。图像符合临床诊断率：双肩贴板体位96%;常规胸片标准体位95%;抱板体位67%,双手上举体位及双手下垂体位无符合临床诊断标准的图像。结论：双肩贴板体位为胸部正位片最佳拍摄体位,值得推广应用。Objective：To explore the application value of chest digital radiography（DR）using shoulders keeping closely to board posture in clinical work.Methods：One thousand and five hundred examince for health check underwent chest radiography with shoulders keeping closely to board in a medical check-up,compared with 1500 cases with standard chest radiographic posture,100 cases with hands up holding posture,1500 cases with hands holding board posture,and 100 cases with arms drooping posture.The time consumed,the difficulty degree,comfortableness of examinee and image quality were analyzed and compared among groups.Results：The efficacy of five chest radiographic postures were evaluated,and the number of examinee having completed the radiography in one hour as follows：80cases for shoulders keeping closely to board posture,45 cases for standard chest radiographic posture,80 cases for hands upholding posture,85 cases for hands holding board posture and 90 cases for arms drooping posture.Posture’s difficulty degree（grade1~5,grade 1indicates the easiest posture and grade 5indicates the most difficult one）：grade 2for shoulders keeping closely to board posture;grade 5for standard chest radiography posture;grade 2for hands upholding posture;grade 2for hands holding board posture and grade 1for arms drooping posture.The subjects’ comfortableness（grade 1~5,grade 1indicates the most comfortable posture and grade 5indicates the most uncomfortable one）：grade 2for shoulders keeping closely to board posture;grade 3for standard chest radiography posture;grade 4for hands upholding posture;grade 2for hands holding board posture;grade 1for arms drooping posture.The rate of good image quality for accurate clinical diagnosis：96%for shoulders keeping closely board posture;95%for standard chest radiography posture;67%for hands upholding posture;0%for hands holding board posture and for arms drooping posture.Conclusion：Shoulders keeping closely to board posture in chest radiography is the optimal position,and it is

关 键 词：体位 放射摄影术 胸部 研究 

分 类 号：R816.4[医药卫生—放射医学]