CT诊断小儿肺炎支原体肺炎的临床价值分析

目的研究小儿肺炎支原体肺炎的CT诊断价值。方法回顾性分析2010年3月-2014年3月门诊及住院部收治的1280例小儿肺炎支原体肺炎临床及影像资料,分析其肺部CT病灶的形态及分布,总结其对小儿肺炎支原体肺炎的诊断价值。结果所有患儿中,单侧肺叶发生病变688例,双侧病变592例;病变呈现为大面积斑片状影1101例,斑点状影496例,肺部纹理增多432例,条索状影256例,磨玻璃样影192例;病灶区支气管壁增厚992例,肺门、纵膈淋巴结肿大128例,肺部CT可见空洞32例,胸腔积液144例。结论小儿肺炎支原体肺炎CT征象表现具有多种类型,部分患儿可合并多种改变,诊断时结合患儿临床表现和体征,有助于提高确诊率。

Analysis of Clinical Value of CT in the Diagnosis of Pediatric Pneumonia and Mycoplasma Pneumonia

Objective To discuss the CT diagnostic value on pediatric mycoplasma pneumonia. Methods The research was conducted in the manner of retrospective analysis on 1280 sick children with pediatric pneumonia mycoplasma pneumonia admitted by outpatient service and the inpatient department from March, 2010 to March, 2014.Analyze the morphology and distribution of lung CT lesions of 1280 cases, and summarize the value in the diagnosis of pediatric mycoplasma pneumoniae pneumonia.Results Among all sick children, 688 patients underwent unilateral lung lesions, 592 patients underwent bilateral lesions, the lesions of 1101 patiets showed large area of patchy shadow, 496 patients assumed mottled shadow, 432 patients were subject to the increase in pulmonary texture, 256 patients show funicular shadow, 192 patients showed ground glass-shaped shadow, 992 patients suffered from bronchial wall thickening in lesions area, 128 patients suffered from the enlargement in hilus pulmonis and mediastinal lymph node, 32 patients assumed cavities from pulmonary CT, and 144 patients were found to have pleural effusion. Conclusion CT signs of pediatric mycoplasma and pneumonia show diversified, and comprehensive diagnosis should be conducted by combining clinical symptoms and signs of patients in clinical diagnosis in order to improve the diagnosis rate.