无呼吸道症状慢性肾脏病透析后肺部异常CT表现探讨  

The research on abnormal pulmonary computed tomography manifestations of dialysis patients of chronic kidney disease without respiratory symptoms

作　　者：李佳琦 丁国成[1] 吴冬[1] 马飞[1] 李超 陈颖[1] 谢召勇[1] LI Jia-qi;DING Guo-cheng;WU Dong;MA Fei;LI Chao;CHEN Ying;XIE Zhao-yong(Chifeng City Hospital,Chifeng Inner Mongolia 024000,China)

机构地区：[1]内蒙古赤峰市医院,内蒙古赤峰024000

出　　处：《中国临床医学影像杂志》2020年第12期883-886,共4页Journal of China Clinic Medical Imaging

摘　　要：目的:通过对比分析无呼吸道症状慢性肾脏病透析后患者与体检患者的异常胸部CT表现,探讨二者异常胸部CT表现间的差异,以提高对无呼吸道症状慢性肾脏病透析后患者肺异常CT表现的认识.方法:收集60例无呼吸道症状慢性肾脏病透析后患者与60例体检患者的肺部CT影像,采用t检验对比透析组及体检组年龄的差异,以P<0.05为检验水准;采用卡方检验对比透析组、体检组性别间差异,以P<0.05为检验水准.分别记录两组病例间质性肺水肿、肺泡性肺水肿、间质纤维化、胸腔积液、心包积液、心脏增大、钙化、磨玻璃密度影、纤维索条、小结节、肺炎、骨性胸廓密度增高的数量及比率,采用卡方检验对比两组病例出现上述病变的数量,以P<0.05为检验水准.结果:透析组、体检组年龄方差性齐,两组间t检验、卡方检验P>0.05,两组年龄、性别比较不具有统计学差异.两组间肺动脉高压(P=0.000)、肺泡性肺水肿(P=0.042)、双侧胸腔积液(P=0.012)、心包积液(P=0.000)、心脏增大(P=0.012)、钙化(P=0.011)计数比较具有统计学差异;两组间间质性肺水肿(P=0.079)、间质纤维化(P=0.402)、单侧胸腔积液(P=0.079)、磨玻璃密度影(P=0.752)、纤维索条(P=0.476)、小结节(P=0.399)、肺炎(P=0.697)、骨性胸廓密度增高(P=0.154)计数比较不具有统计学差异.结论:无呼吸道症状慢性肾脏病透析后患者的异常胸部CT表现中,以血液循环系统相关病变为主要表现.Objective:To explore the abnormal pulmonary computed tomography(CT)manifestations of dialysis patients of chronic kidney disease without respiratory symptoms by comparing and analyzing the CT features of dialysis patients of chronic kidney disease and healthy controls(HC).Methods:This study enrolled 60 dialysis patients of chronic kidney disease without respiratory symptoms and 60 HC.Pulmonary CT images were collected.The features were recorded,including interstitial edema,alveolar edema,interstitial fibrosis,calcification,ground-glass opacity,fibrous bands,nodules,inflammatory lesions,pleural effusion,pericardial effusion,heart enlargement,and bony thorax density.Chi-square tests were used to compare the differences of the two groups.The P values less than 0.05 were considered as statistical significance.Results:There were no statistical differences in age and gender between the two groups(P>0.05).It was showed that significant differences in pulmonary hypertension(P=0.000),alveolar pulmonary edema(P=0.042),bilateral pleural effusion(P=0.012),pericardial effusion(P=0.000),cardiac enlargement(P=0.012)and calcification(P=0.011)between the two groups.There were no statistically significant differences in interstitial pulmonary edema,interstitial fibrosis,unilateral pleural effusion,ground-glass opacity,fibrous bands,nodules,inflammatory lesions,and bony thorax density between the two groups(all P>0.05).Conclusion:There is characteristically abnormal CT manifestations in dialysis patients of chronic kidney disease without respiratory symptoms,which mainly related to blood circulation system lesions.

关 键 词：肾疾病 肾透析 肺疾病 体层摄影术 X线计算机 

分 类 号：R692[医药卫生—泌尿科学] R563[医药卫生—外科学]