超声胸膜线异常在结缔组织病相关肺间质疾病中的诊断价值  

Diagnostic Value of Ultrasound with Abnormal Pleural Line in Connective Tissue Disease Associated Interstitial Lung Disease

作　　者：谢海琴[1] 罗海愉 王琳瑶 刘帅良 崔立刚[3] 王庆文[4] 刘俐[1] Xie Haiqin;Luo Haiyu;Wang Linyao;Liu Shuailiang;Cui Ligang;Wang Qingwen;Liu Li(Department of Ultrasound,Peking University Shenzhen Hospital,Guangdong 518036,China;Department of Radiology,Peking University Shenzhen Hospital,Guangdong 518036,China;Department of Ultrasound,Peking University Third Hospital,Beijing 100191,China;Department of Rheumatology,Peking University Shenzhen Hospital,Guangdong 518036,China)

机构地区：[1]北京大学深圳医院超声科,广东省深圳市518036 [2]北京大学深圳医院放射科,广东省深圳市518036 [3]北京大学第三医院超声科,北京市100191 [4]北京大学深圳医院风湿科,广东省深圳市518036

出　　处：《中国超声医学杂志》2021年第10期1113-1115,共3页Chinese Journal of Ultrasound in Medicine

基　　金：深圳市医学重点学科建设经费资助(No.SZXK051);北京大学深圳医院科研基金资助课题(No.JCYJ2020012)。

摘　　要：目的探讨超声胸膜线异常诊断结缔组织病相关肺间质疾病的临床价值。方法选取100例结缔组织病患者行超声检查,观察胸膜线的形态并半定量评分。以HRCT为金标准,得出肺超声的诊断效能,并与HRCT一致性分析。结果高频超声诊断结缔组织病相关肺间质疾病灵敏度、特异度、阳性预测值、阴性预测值与准确度分别为72.7%、94.1%、96.0%、64.0%及80.0%,与HRCT一致性结果Kapper=0.62。结论超声通过胸膜线异常初步诊断CTD-ILD,具有较高的准确度。Objective To assess the clinical value of high resolution ultrasound with abnormal pleural line in diagnosis of connective tissue disease associated interstitial lung disease(CTD-ILD). Methods 100 patients with CTD were enrolled. All patients underwent ultrasound which was used to observe the pleural line and semi-quantitative scoring. HRCT was considered as the gold standard. The consistency of HRCT and ultrasound were analyzed. Results The sensitivity, specificity, positive and negative predictive value, and diagnostic accuracy of ultrasound were 72.7%,94.1%,96.0%,64.0% and 80.0%,respectively. The kapper value was 0.62. Conclusions Ultrasound according to abnormal pleural line has high accuracy in the diagnosis of CTD-ILD.

关 键 词：超声 胸膜线 结缔组织病 肺间质疾病 

分 类 号：R445.1[医药卫生—影像医学与核医学] R593.2[医药卫生—诊断学] R563[医药卫生—临床医学]