35例某卫浴企业陶工尘肺Ⅰ期患者胸部CT影像分析  

Analysis on chest CT images of 35 cases of phase Ⅰ potter’s pneumoconiosis patients in a sanitary ware enterprise

作　　者：姚文妍 刘荣荣 刘杰[1] 李敏[1] 朱怡[1] 任荣[1] 朱芸仙 吴敏昱 YAO Wen-yan;LIU Rong-rong;LIU Jie;LI Min;ZHU Yi;REN Rong;ZHU Yun-xian;WU Min-yu(Department of Radiology,Affiliated Infectious Diseases Hospital of Soochow University(Fifth People's Hospital of Suzhou),Suzhou Jiangsu,215000,China)

机构地区：[1]苏州大学附属传染病医院(苏州市第五人民医院)放射科,江苏苏州215000

出　　处：《职业与健康》2020年第16期2176-2179,2183,共5页Occupation and Health

基　　金：同济大学附属上海肺科医院孙道远教授职业病专家团队(SZYJTD201904)。

摘　　要：目的分析陶工尘肺Ⅰ期患者胸部CT影像特征,为陶工尘肺的诊断及鉴别诊断提供依据。方法收集苏州大学附属传染病医院(苏州市第五人民医院)2015年1月—2019年11月受理的某卫浴企业陶工尘肺Ⅰ期患者35例,均为男性,年龄范围为40~60岁,平均(49.9±4.0)岁。对CT影像上病灶特点、分布及合并症征象运用SPSS 22.0软件对数据进行统计分析,CT峰值采用计量资料x±s表示,计数资料采用百分数表示。结果CT表现小结节密度浅淡22例(62.9%),CT值峰值为(-736.7±53.3)HU。小结节<3 mm为主,34例(97.1%);不清29例(82.9%)。MPR图像冠状面两肺上叶优势分布32例(91.4%),MPR图像矢状面两肺上叶后部优势分布22例(62.9%)。有纤维灶19例(54.3%),其中右肺上叶9例(25.7%),两肺上叶都出现7例(20.0%),两肺上叶合并其他肺叶3例(8.6%)。小结节有融合趋势14例(40.0%),合并胸膜增厚10例(28.6%)。纵隔淋巴结密度增高/结节样钙化31例(88.6%)。合并肺部基础性疾病12例(34.3%),其中肺大泡9例(25.7%),右肺支气管扩张伴感染1例(2.9%),肺结核2例(5.7%)。结论陶工尘肺Ⅰ期患者胸部CT图像上小结节密度以浅淡为主,两肺上叶优势分布,两肺上叶可见纤维条索灶及小结节融合趋势,胸膜下透亮带及纵隔淋巴结密度增高或钙化都具有一定的特征性,这些影像学表现有助于陶工尘肺Ⅰ期的诊断及鉴别诊断。Objective To provide the basis for the diagnosis and differential diagnosis of potter’s pneumoconiosis by analyzing the ch est CT features of patients with phase Ⅰ potter’s pneumoconiosis. Methods Totally 35 cases of phase Ⅰ potter’s pneumoconiosis patients in a sanitary ware enterprise were collected,who were admitted by the Affiliated Ⅰnfectious Diseases Hospital of Soochow University(Fifth People’s Hospital of Suzhou)from January 2015 to November 2019. All of them were male,and aged 40-60 years old,with an average age of(49.9±4.0)years old. The characteristics,distribution and signs of complications on CT images were statistically analyzed by SPSS 22.0 software. The peak value of CT was expressed by measurement data(x ±s),and the count data was expressed by percentage. Results 22(62.9%) cases showed superficial and slight density of small nodules,and the peak CT value was(-736.7±53.3)HU. There were 34(97.1%) cases with nodules smaller than 3 mm and 29(82.9%) cases with unclear nodules. The dominant distribution of the upper lobe of both lungs in the coronal plane of MPR image was found in 32(91.4%) cases.MPR images showed dominant posterior superior lobe distribution in 22(62.9%)cases. There were 19(54.3%) cases with fiber stoves,including 9(25.7%) cases in the upper lobe of the right lung,7(20.0%) cases in the upper lobe of both lungs,and 3(8.6%)cases in the upper lobe of both lungs combined with other lobes.The tendency of fusion was observed in 14(40.0%) cases. Pleural thickening was found in 10(28.6%) cases. Mediastinal lymph node density increased or nodular calcification was found in 31(88.6%)cases. There were 12(34.3%) cases complicated with pulmonary underlying diseases,including 9(25.7%) cases of pulmonary bulla,1(2.9%)case of right pulmonary branch enlargement with infection,and 2(5.7%) cases of pulmonary tuberculosis. Conclusion Ⅰn the patients with phase Ⅰ potter’s pneumoconiosis,the nodules on chest CT image density is given priority to superficial and slight,with dominant d

关 键 词：Ⅰ期尘肺 陶工尘肺 计算机体层摄影技术 

分 类 号：R135.2[医药卫生—劳动卫生]