有无基础病的COVID-19患者CT表现比较分析  

Imaging Features of Patients with Coronavirus Disease 2019 with/without Underlying Diseases

作　　者：张妍 黄瑞彬[2] 段永利[1] 刘薇[1] 李玲 郝琪 李兴鹏 刘梦珂 张怡梦 孙小丽[1] 刘晓燕[4] 王仁贵[1] ZHANG Yan;HUANG Ruibin;DUAN Yongli;LIU Wei;LI LING;HAO Qi;LI Xingpeng;LIU Mengke;ZHANG Yimeng;SUN Xiaoli;LIU Xiaoyan;WANG Rengui(Department of Radiology,Beijing Shijitan Hospital,Capital Medical University,Beijing 100038,China;Department of Radiology,Jinan Fourth People's Hospital,Jinan 250031,China;Department of Radiology,Peking University Ninth School of Clinical Medicine,Beijing 100038,China;Department of Infectious Diseases,Beijing Shijitan Hospital,Capital Medical University,Beijing 100038,China)

机构地区：[1]首都医科大学附属北京世纪坛医院放射科,北京100038 [2]济南市第四人民医院放射科,济南250031 [3]北京大学第九临床医学院放射科,北京100038 [4]首都医科大学附属北京世纪坛医院感染科,北京100038

出　　处：《CT理论与应用研究（中英文）》2023年第5期652-658,共7页Computerized Tomography Theory and Applications

摘　　要：目的:探讨合并基础病和未合并基础病的新型冠状病毒感染(COVID-19)患者的影像学特征。材料与方法:回顾性收集首都医科大学附属北京世纪坛医院于2022年11月16日至2022年12月16确诊为COVID-19的患者153例。患者均自发病后1~14 d行胸部薄层CT平扫检查。根据或者有无基础病将其分为两组,其中合并基础病患者42例,未合并基础病患者111例,对比分析两组患者的差异。结果:两组患者在发病年龄、咳嗽、双肺分布、弥漫性分布、肺内蜂窝样改变、斑片状分布、大片状分布、束带样分布、铺路石征、空气支气管征、牵拉性支气管扩张及胸腔积液上差异有统计学意义。结论:COVID-19患者临床以发热和咳嗽症状最多见,胸部CT可见双肺多发病灶,病灶类型以支气管血管束增厚及GGO为著。合并基础病的患者在蜂窝样改变、铺路石征、空气支气管征、牵拉性支气管扩张及胸腔积液上较未合并基础病的患者更多。胸部薄层CT扫描对疾病的早期发现及诊断提供了关键的参考。Objective:To explore the imaging characteristics of patients with novel coronavirus pneumonia(COVID-19)combined with different underlying diseases.Materials and methods:COVID-19 was diagnosed in 153 patients at Beijing Shijitan Hospital,Capital Medical University,from November 16,2022 to December 16,2022,and data were retrospectively collected.All patients underwent chest CT scan from 1 to 14 days after onset and were divided into two groups based on the presence or absence of underlying diseases.Forty-three patients had underlying diseases,and 110 patients had none.We compared the differences between the two groups.Result:The comparison between the two groups showed statistically significant differences in age,cough,bilateral lung distribution,diffuse distribution,honeycomb-like changes in the lungs,patchy distribution,large patchy distribution,band distribution,crazy-paving sign,air bronchogram sign,traction bronchiectasis,and pleural effusion.Conclusion:Fever and cough are the most common clinical symptoms in patients with COVID-19.Chest CT showed multiple lesions in both lungs.The most common types of lesions were thickening of bronchovascular bundle and GGO.Patients with underlying diseases had more honeycomb-like changes,crazy-paving sign,air bronchogram sign,traction bronchiectasis,and pleural effusion than those without underlying diseases.Chest thin-slice CT scan provides a key reference for the early detection and diagnosis of the disease.

关 键 词：X线计算机 体层摄影术 新型冠状病毒感染 基础病 

分 类 号：R814[医药卫生—影像医学与核医学] R563.1[医药卫生—放射医学]