成人与儿童麻疹肺炎的HRCT对照研究  

The features of HRCT with measles pneumonia in adults and children

作　　者：许东海 李晶晶 周安 吕志彬 谢汝明 陈步东 XU Donghai;LI Jingjing;ZHOU An;LYU Zhibin;XIE Ruming;CHEN Budong(Department of Radiology,Beijing DiTan Hosptial,Capital Medical University,BeiJing 100015,China)

机构地区：[1]首都医科大学附属北京地坛医院放射科,北京100015

出　　处：《医学影像学杂志》2022年第10期1722-1724,1730,共4页Journal of Medical Imaging

摘　　要：目的探讨HRCT在成人与儿童麻疹肺炎中的应用。方法选取并分析40例成人麻疹肺炎及59例儿童麻疹肺炎的HRCT及临床资料,比较两组HRCT影像表现的差异,比较两组发生重症的差异。用SPSS软件进行统计学分析。结果成人及儿童麻疹肺炎HRCT表现均以肺间质改变为主,包括小叶间隔增厚及网格影成人组29例(72.5%),儿童组41例(69.5%);小片状或大片状磨玻璃密度影成人组24例(60.0%),儿童组39例(66.1%);实变影成人组10例(25.0%),儿童组29例(49.2%);微结节及小结节成人组9例(22.5%),儿童组4例(6.8%);马赛克征成人组3例(7.5%),儿童组21例(35.6%);索条影成人组2例(5.0%),儿童组8例(13.6%);合并胸腔/心包积液成人组5例(12.5%),儿童组7例(11.9%);合并纵隔气肿成人组1例(2.5%),儿童组3例(5.1%);病变累及>3个肺叶成人组22例(55.0%),儿童组36例(61.0%)。成人组麻疹肺炎1例(2.5%)发生重症者明显低于儿童组17例(28.8%),差异有统计学意义(χ^(2)=11.096,P=0.001)。成人麻疹肺炎HRCT影像表现,较儿童麻疹肺炎患者马赛克征、实变少见,差异有统计学意义(χ^(2)=10.244、5.824,P 0.002、0.021),成人麻疹HRCT较儿童更容易出现结节样改变,差异有统计学意义(χ^(2)=5.165,P=0.033)。结论HRCT在成人及儿童麻疹肺炎的诊疗中有重要价值。Objective To observe the application of HRCT in measles pneumonia in adults and children.Methods A retrospective study was conducted on 40 cases of adults and 59 children measles pneumonia cases who underwent HRCT examination.We compared the difference of HRCT images between the two groups.Statistical analysis was performed using SPSS19.0.Results HRCT findings of adult and children measles pneumonia were mainly pulmonary interstitial changes,including lobular septal thickening and grid shadow in 29 cases(72.5%)of adult group and 41 cases(69.5%)of children group;small piece or large piece of ground glass density shadow in 24 cases(60.0%)of adult group and 39 cases(66.1%)of children group;consolidation shadow in 10 cases of adult group.There were 29 cases(49.2%)in children group,9 cases(22.5%)in adults group and 4 cases(6.8%)in children group,3 cases(7.5%)in adults group and 21 cases(35.6%)in children group,2 cases(5.0%)in adults group and 8 cases(13.6%)in children group,5 cases(12.5%)in adults group and 7 cases(11.9%)in children group,and 1 case in adults group with mediastinal emphysema.There were 22 cases(55.0%)in adult group and 36 cases(61%)in child group.1 case(2.5%)of severe measles pneumonia in adult group was significantly lower than that in 17 cases(28.8%)of children group(χ^(2)=11.096,P=0.001).HRCT findings of adult measles pneumonia were less than mosaic sign and consolidation of children's measles pneumonia,the difference was statistically significant,χ^(2) value was 10.244 and 5.824,P value was 0.002 and 0.021,respectively.HRCT in adult measles was more prone to nodular changes than children's measles pneumonia,χ^(2) value was 5.165,P value was 0.033.Conclusion HRCT is important in diagnosis of measles pneumonia in adults and children.

关 键 词：成人 儿童 麻疹肺炎 体层摄影术 X线计算机 

分 类 号：R563.1[医药卫生—呼吸系统]