高千伏X线与CT诊断尘肺病的结果比较  

Comparison of high kV X-ray and CT diagnosis of pneumoconiosis

作　　者：何丹丹 王雪梅 刘艳玲 HE Dandan;WANG Xuemei;LIU Yanling(Department of Radiology,Dalian Fourth People's Hospital,Dalian,Liaoning,116000,China)

机构地区：[1]大连市第四人民医院放射科,辽宁大连116000

出　　处：《当代医学》2023年第8期159-161,共3页Contemporary Medicine

摘　　要：目的探讨高千伏X线与CT诊断尘肺病的应用价值。方法选取2021年2—9月本院职业病科收治的80例尘肺患者,实施高千伏X线与CT诊断。比较高千伏X线与CT检查对肺内阴影及各类病灶的显示情况。结果CT检查规则阴影的p形高于高千伏X线检查,差异有统计学意义(P<0.05),但两种检查方法检查阴影的q形、r形、不规则阴影(s形、t形)比较差异无统计学意义。CT检查显示斑片影、结节影、空洞、小叶中心肺气肿、条索影、磨玻璃影、钙化、胸膜黏连率高于高千伏X线,差异有统计学意义(P<0.05)。结论CT诊断尘肺病更具有优势,可清晰显示出阴影、肺间质、胸膜及淋巴结病变。Objective To explore the application value of high kV X-ray and CT in the diagnosis of pneumoconiosis.Methods 80 patients with pneumoconiosis admitted to the occupational disease department of our hospital from February to September 2021 were selected for high kV X-ray and CT diagnosis,the display of pulmonary shadows and the display of various lung lesions were compared between high kV X-ray and CT diagnosis.Results The p-shape of standardized shadows in CT examination was higher than that in high kV X-ray examination,and the difference was statistically significant(P<0.05),but there was no significant difference between the two examination methods in detecting q shaped,r shaped,and irregular shadows(s shaped,t shaped).The rates of patchy shadows,nodular shadows,cavities,central lobular emphysema,strip shadows,ground glass shadows,calcification,and pleural adhesion of CT examination were higher than high kV X-ray,and the difference was statistically significant(P<0.05).Conclusion CT diagnosis of pneumoconiosis is more advantageous,can clearly show the shadow,pulmonary interstitial,pleural and lymph node lesions.

关 键 词：高千伏X线 CT 尘肺 诊断方法 

分 类 号：R135.2[医药卫生—劳动卫生]