| 丁丹卉,段前深,张治礼.肺部CT灌注成像与MRI增强扫描在重度烧伤 吸入性损伤中的诊断价值比较[J].中国烧伤创疡杂志,2020,(2):105~107. |
| DOI： |
| 中文关键词: CT灌注成像 MRI增强扫描 肺 重度烧伤 吸入性损伤 诊断 |
| 英文关键词:CT perfusion imaging Enhanced MRI scan Pulmonary Severe burn Inhalation injury Diagnosis |
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| 中文摘要: |
| 【摘要】 目的 通过对比分析重度烧伤吸入性损伤患者肺部CT灌注成像与MRI增强扫描结果，为重度烧伤吸入性损伤的临床诊断提供参考。方法 回顾性分析2016年9月至2018年9月许昌市中心医院收治的70例重度烧伤吸入性损伤患者的病历资料，并按照诊断方法的不同将其分为观察组与对照组，每组35例，其中观察组患者采用肺部CT灌注成像进行检查，对照组患者采用MRI增强扫描进行检查，并综合病史体征、临床症状及辅助检查结果进行确诊，对比分析两组患者的影像学诊断结果及诊断准确性。结果 确诊结果显示，观察组患者中双侧胸腔积液12例、间质性肺疾病9例、肺部感染14例，对照组患者中双侧胸腔积液11例、间质性肺疾病11例、肺部感染13例，两组对比，χ2=0.281，P=0.869，P＞0.05，差异无统计学意义。影像学检查结果显示，观察组患者中双侧胸腔积液12例、间质性肺疾病9例、肺部感染14例，诊断准确率为100%；对照组患者中双侧胸腔积液9例、间质性肺疾病10例、肺部感染11例，诊断准确率为85.71%，两组对比，χ2=5.385，P=0.020，P＜0.05，差异具有统计学意义。结论 与肺部MRI增强扫描相比，肺部CT灌注成像对重度烧伤吸入性损伤患者的诊断更加准确，临床价值更高，有利于降低临床漏诊、误诊事件的发生率。 |
| 英文摘要: |
| 【Abstract】Objective To provide reference for the clinical diagnosis of inhalation injury resulting from sever burn by comparing and analyzing results of patients’ pulmonary CT perfusion imaging and pulmonary enhanced MRI scan. Methods Medical records of 70 severe burn patients with inhalation injury, admitted to Xuchang Central Hospital from September 2016 to September 2018, were retrospectively analyzed. They were divided, according to their diagnostic approaches, into an observation group and a control group, with 35 cases in each group. The patients in the observation group were examined with pulmonary CT perfusion imaging and the patients in the control group with pulmonary enhanced MRI scan. Then diagnoses were made by referring to their medical history, signs and symptoms, clinical symptoms and auxiliary examination results. The imaging diagnostic results and diagnostic accuracy rate of the two groups were compared and analyzed. Results The diagnostic results showed that there were 12 cases of bilateral pleural effusion, 9 cases of interstitial lung disease, 14 cases of pulmonary infection in the observation group and 11 cases of bilateral pleural effusion and 11 cases of interstitial lung disease,13 cases of pulmonary infection in the control group. The comparison between the two groups (x2=0.281, P=0.869, P>0.05) showed no statistically significant difference. The results of imaging diagnosis showed that there were 12 cases of bilateral pleural effusion, 9 cases of interstitial lung disease, and 14 cases of pulmonary infection in the observation group, with diagnostic accuracy rate of 100% and there were 9 cases of bilateral pleural effusion, 10 cases of interstitial lung disease and 11 cases of pulmonary infection, with diagnostic accuracy rate of 85.71%. The comparison between the two groups (x2=5.385, P=0.020, P<0.05) showed statistically significant difference. Conclusion Compared with pulmonary enhanced MRI scan, pulmonary CT perfusion imaging is more accurate in the diagnosis of inhalation injury for severe burn patients. It has high clinical value as it can reduce the incidence of missed diagnosis and misdiagnosis in clinical practice. |
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