婴幼儿间质性肺炎多层螺旋CT分型与预后的相关性研究  

Correlative study between the typing of MSCT and prognosis in infant with interstitial pneumonia

作　　者：洪庆山[1] 江肖松 沈敏[1] 张丽[1] 龚舒[1] 吴松鑫 郭雪贞[1] HONG Qingshan;JIANG Xiao song;SHEN Min;ZHANG Li;GONG Shu;WU Songxin;GUO Xuezhen(Department of Radiology,Guangdong Women and Children Hospital,Guangzhou 510010,China)

机构地区：[1]广东省妇幼保健院放射科,广东广州510010

出　　处：《实用放射学杂志》2019年第10期1648-1650,共3页Journal of Practical Radiology

摘　　要：目的探讨婴幼儿间质性肺炎(IP)MSCT分型与预后的关系。方法回顾性分析44例婴幼儿IP的MSCT影像征象,根据病理进程进行MSCT分型,采用相关性分析探讨MSCT分型与临床预后的关系。结果 44例患者MSCT分为3型:渗出型22例,增生型18例,毁损型4例。3组的治疗疗效有显著差异(P<0.01),MSCT分型与临床预后有相关性(r=0.784,P<0.01),渗出型预后优于增生型,二者均优于毁损型。结论基于影像征象的MSCT分型能揭示婴幼儿IP炎症的病理进程,对治疗方案选择和预后判断有重要参考价值。Objective To explore the relationship between the typing of MSCT and prognosis in infant with interstitial pneumonia (IP).Methods MSCT features of 44 infants with IP were analyzed retrospectively and classified according to the pathological pro gress.The relationship between the MSCT typing and clinical prognosis was statistically analyzed.Results The result of the MSCT typing was as follows: the exudation in 22 cases,the proliferation in 18 cases and the ruin in 4 cases.There was significant difference for the clinical prognosis among the different MSCT groups (P<0.01). And there was a significant correlation between the MSCT typing and clinical prognosis (r = 0.784, P<0.0l ).The prognosis of the exudation type was better than the proliferation type,and both of them were better than the ruin type.Conclusion Based on the MSCT features, MSCT typing reveals the inflammatory pathological process of the infant IP, which plays an important role in treatment options decision and prognosis prediction.

关 键 词：婴幼儿 间质性肺炎 计算机体层成像 预后 

分 类 号：R563.1[医药卫生—呼吸系统] R814.42[医药卫生—内科学]