CT和傳統(tǒng)X線診斷慢阻肺合并肺間質(zhì)纖維化患者的臨床效果

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【摘要】目的：探索慢阻肺合并肺間質(zhì)纖維化病癥運用CT和傳統(tǒng)X線診斷價值。方法：篩選我院2019年1月—2021年9月收治的疑似（慢阻肺+肺間質(zhì)纖維化）患者為研究對象（確診76例），對患者分別行CT檢查與傳統(tǒng)X線檢查，計算診斷符合率、靈敏度、特異度與不同程度病癥檢出率，觀察影像學(xué)特征。結(jié)果：80例疑似慢阻肺合并肺間質(zhì)纖維化患者（綜合病理確診76例），傳統(tǒng)X線檢出陽性70例，真陽性67例，陰性10例，真陰性1例；CT診斷檢出陽性76例，真陽性75例，陰性4例，真陰性3例，傳統(tǒng)X線診斷符合率、靈敏度、特異度（85.00%、88.16%、25.00%）低于CT診斷（97.50%、98.68%、75.00%），差異顯著（P0.05），輕度患者診斷中傳統(tǒng)X線診斷相比CT診斷差異顯著（P

【關(guān)鍵詞】慢阻肺；CT；傳統(tǒng)X線；肺間質(zhì)纖維化

Clinical effect of CT and traditional X-ray in the diagnosis of COPD complicated with pulmonary interstitial fibrosis

FAN Dawei

Huangwu Center Health Center，Zhifu District， Yantai City， Yantai， Shandong 264001， China

【Abstract】Objective： To explore the diagnostic value of CT and traditional X-ray in COPD complicated with pulmonary interstitial fibrosis.Methods： The suspected patients （COPD complicated with pulmonary interstitial fibrosis）treated in our hospital from January 2019 to September 2021 were selected as the research objects （76 cases were diagnosed）.The patients were examined by CT and traditional X-ray respectively.The diagnostic coincidence rate，sensitivity，specificity and disease detection rate of different degrees were calculated， and the imaging characteristics were observed.Results：Among 80 patients with suspected COPD complicated with pulmonary interstitial fibrosis（76 cases confirmed by comprehensive pathology），70 cases were positive，67 cases were true positive，10 cases were negative and 1 case was true negative by traditional X-ray；CT diagnosis was positive in 76 cases，true positive in 75 cases，negative in 4 cases and true negative in 3 cases.The coincidence rate，sensitivity and specificity of traditional X-ray diagnosis（85.00%， 88.16% and 25.00%） were lower than those of CT diagnosis（97.50%，98.68% and 75.00%），the difference was significant（P0.05）.There was significant difference between traditional X-ray diagnosis and CT diagnosis in the diagnosis of mild patients（P

【Key Words】COPD； CT； Traditional X-ray； Pulmonary interstitial fibrosis

慢阻肺是臨床上一種常見的病癥，該病癥是指慢性阻塞性肺疾病，由于氣流受限為特征的肺部疾病，氣流受限不完全可逆[1]，且呈現(xiàn)出明顯的進(jìn)行性發(fā)展，隨著病情進(jìn)展可造成肺功能降低，出現(xiàn)呼吸困難、胸悶情況，需要及時治療[2]。（剩余2797字）