矽肺合并机化性肺炎的影像学特点分析  

Characteristic Analysis on Imaging of the Silicosis Combined with Organizing Pneumonia

作　　者：郭伟峰[1] 庄锡彬[1] 何约明[1] 黄弘[1] 黄鸿波[1] 徐萌[1] GUO Weifeng;ZHUANG Xibin;HE Yueming;HUANG Hong;HUANG Hongbo;XU Meng(The First Quanzhou Hospital of Fujian Medical University,Quanzhou 362000,China;不详)

机构地区：[1]福建医科大学附属泉州第一医院,福建泉州362000

出　　处：《中外医学研究》2020年第35期81-83,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:通过对矽肺合并机化性肺炎的影像学特点进行分析,应用"临床-影像"模式做出临床诊断。方法:回顾性分析2016年8月-2019年12月本科室诊断为矽肺的324例患者的临床资料,其中32例病理确诊为矽肺合并机化性肺炎。根据病理确诊的32例矽肺合并机化性肺炎影像学特点,分析324例矽肺患者各类型影像分布情况及治疗效果。结果:32例病理确诊为矽肺合并机化性肺炎患者主要有4种影像学改变,单发斑片状阴影(1型)10例,多发斑片状阴影(2型)10例,间质病变(3型)7例,间质病变+斑片状阴影(4型)5例;其中Ⅰ期矽肺10例,Ⅱ期矽肺11例,Ⅲ期矽肺11例。324例矽肺患者中,4个类型均有显著疗效,差异无统计学意义(P>0.05),不能分型组疗效明显差于可分型组。结论:通过影像学特点分析,可直接对矽肺合并机化性肺炎患者做出临床诊断,避免创伤性肺穿刺检查。Objective:To make clinical diagnosis in terms of "clinical-iconographic" mode after analysis of the imaging characteristics of silicosis combined with organized pneumonia.Method:The clinical data of 324 cases diagnosed as silicosis in our department from August 2016 to December 2019 were analyzed retrospectively,among which 32 cases were pathologically confirmed as silicosis with organized pneumonia.According to the imaging characteristics of 32 cases diagnosed as silicosis with organized pneumonia by pathology,the image distribution and treatment effect of each type of 324 patients with silicosis were analyzed.Result:There were mainly 4 types of imaging changes in 32 cases diagnosed as silicosis with organized pneumonia,10 cases had single patchy shadows (type 1),10 cases had multiple patchy shadows (type 2),7 cases had mesenchymal lesions (type 3),and 5 cases had mesenchymal lesions + patchy shadows (type 4);among these patients,10 cases had stage Ⅰ silicosis,11 cases had stage Ⅱ silicosis,and 11 cases had stage Ⅲ silicosis.Among the 324 silicosis patients,all the four types had significant curative effects,and the difference was not statistically significant (P>0.05),the efficacy of the non-typing group was significantly worse than that of the typing group.Conclusion:Through the analysis of imaging characteristics,it is possible to make a direct clinical diagnosis of silicosis combined with organizing pneumonia and avoid traumatic lung puncture examination.

关 键 词：矽肺 机化性肺炎 影像学特点 

分 类 号：R135.2[医药卫生—劳动卫生] R563.1[医药卫生—公共卫生与预防医学]