软阅读在DR胸片诊断老年性肺炎中的应用  

Soft-copy reading in DR chest film diagnosis of senile pneumonia

作　　者：姬颖彬 王建涛[1] 吴颖利[1] 董铮[1] 侯坤[1] 孟军华[1] 杨新宇[1] JI Ying-bin;WANG Jian-tao;WU Ying-li;DONG Zheng;HOU Kun;MENG Jun-hua;YANG Xin-yu(Department of Radiology,Tangshan Gongren Hospital,Tangshan,Hebei 063000,China)

机构地区：[1]唐山市工人医院放射科,河北唐山063000

出　　处：《中国临床研究》2020年第3期391-393,共3页Chinese Journal of Clinical Research

基　　金：河北省2018年度医学科学研究重点课题计划(20181270)。

摘　　要：目的探讨利用专业医学显示器进行软阅读在胸片DR诊断老年性肺炎中的应用价值。方法对唐山市工人医院2012年1月至2015年12月收治的162例老年肺炎病例的影像学资料进行回顾性分析,分别由2名放射科医师采用不同的诊断方法进行读片,比较传统灯箱阅读的读片方式和软阅读对诊断老年人肺炎诊断的差异。结果在大叶性肺炎软阅读与传统灯箱阅读的正确率分别为92.9%和78.8%,在支原体肺炎软阅读与灯箱阅读的正确率分别为88.4%和81.4%,在间质性肺炎软阅读与灯箱阅读的正确率分别为100.0%和97.0%,在肺炎型肺癌软阅读与灯箱阅读的正确率均为0。显示器软阅读和灯箱阅读在老年人大叶性肺炎的诊断中差异具有统计学意义(P=0.008),显示器软阅读和灯箱阅读在老年人支原体肺炎、间质性性肺炎和肺炎性肺癌的诊断中的差异无统计学意义(P>0.05)。结论与传统灯箱阅读比较,利用专业显示器进行软阅读在DR胸片诊断老年性大叶性肺炎具有优势,诊断老年支原体肺炎和间质性肺炎具有相同的价值。Objective To explore the application value of soft-copy reading with professional medical display in chest direct digital radiography(DR) diagnosis of senile pneumonia.Methods The imaging data of 162 cases of senile pneumonia who admitted to Tangshan Gongren Hospital from January 2012 to December 2015 were analyzed retrospectively,whose chest films were read by two radiologists respectively using traditional light-box reading and soft-copy reading with professional medical display to compare the difference between two different diagnostic methods in elderly patients with pneumonia.Results The accuracy rates of soft-copy reading and traditional light box reading were 92.9% and 78.8% respectively for lobar pneumonia,88.4% and 81.4% respectively for mycoplasma pneumonia,100.0% and 97.0% respectively for interstitial pneumonia and 0% for pneumonia lung cancer.There were no significant differences between soft-copy reading and light box reading in the diagnosis of mycoplasma pneumonia,interstitial pneumonia and pneumonia-type lung cancer(all P>0.05),except in the diagnosis of lobar pneumonia(P=0.008).Conclusion Compared with traditional light-box reading,soft-copy reading with professional display has advantage in DR chest film diagnosis of senile lobar pneumonia,and both have the same value in the diagnosis of senile mycoplasma pneumonia and interstitial pneumonia.

关 键 词：胸片DR 老年肺炎 软阅读 灯箱阅读 肺炎型肺癌 

分 类 号：R445.4[医药卫生—影像医学与核医学] R563.1[医药卫生—诊断学]