摘要
目的 探讨多层螺旋CT(MSCT)对慢性肾衰竭(CRF)持续性血液透析患者肺部感染的诊断价值。方法回顾性分析2019年1月-2020年12月在武汉市第三医院接受诊治的60例确诊为CRF持续性血液透析合并肺部感染患者的临床资料,比较患者胸部CT征象及分布特征。结果 CRF持续性血液透析患者肺部感染中混合感染发生率最高(35%),其次为细菌感染(25%)。MSCT影像图像的结节征象显示率明显高于常规CT和高分辨率CT(P<0.05),其他征象3种CT技术均显示差异无统计学意义(P>0.05)。结论 MSCT有助于显示CRF持续性血液透析患者肺部感染所致肺部实质、气管、血管改变,并能准确显示病灶的范围及特征,对于提高肺部感染的综合诊断具有重要意义。
Objective To explore the diagnostic value of multi-slice spiral CT(MSCT)in chronic renal failure(CRF)patients with persistent hemodialysis for lung infection.Methods A retrospective analysis of the clinical medical records of 60patients diagnosed with CRF on continuous hemodialysis with pulmonary infection who were diagnosed and treated in me from January 2019to December 2020was retrospectively analyzed.The display and distribution characteristics of chest CT signs were compared.Results The incidence of mixed infection was the highest(35%)in the lung infections of CRF patients on continuous hemodialysis,followed by bacterial infection(25%).The display rate of nodule signs in MSCT images was significantly higher than that of conventional CT and high-resolution CT(P0.05),but it was helpful to show the range of lesions.Conclusion MSCT is helpful to show changes of pulmonary parenchyma,trachea and blood vessels caused by pulmonary infection in patients with CRF continuous hemodialysis,and can accurately show the scope and characteristics of lesions,which is of great significance for improving the comprehensive diagnosis of pulmonary infection.
作者
吴云
吴斌
郑石林
周浪
谭一清
WU Yun;WU Bin;ZHENG Shi-lin(Department of Interuentional Radiology the Third Hospital of Wuhan,Wuhan 430074,China)
出处
《中国实验诊断学》
2022年第6期795-798,共4页
Chinese Journal of Laboratory Diagnosis
基金
湖北省科技计划项目(2016FB341)。
关键词
慢性肾衰竭
血液透析
肺部感染
多层螺旋CT
Chronic renal failure
Hemodialysis
Pulmonary infection
Multi-slice spiral CT
