胸部多排螺旋CT扫描诊断职业性尘肺病的应用及其临床意义分析

目的探讨胸部多排螺旋CT扫描诊断职业性尘肺病的应用及其临床意义。方法选取2017年8月～2018年8月我院收治的职业性尘肺病患者110例,所有患者均进行X线检查与胸部多排螺旋CT扫描。比较两种检查方法尘肺各类型情况、肺内合并症情况。结果胸部多排螺旋CT扫描检查出的胸膜粘连、空洞、斑片影、病灶数目多于X线检查(P0.05);胸部多排螺旋CT扫描检查出的胸膜增厚、肺门淋巴结肿大、肺大疱、肺气肿多于X线检查(P0.05)。结论职业性尘肺病诊断中,胸部多排螺旋CT扫描的诊断结果更准确,诊断率更高。

Application and clinical significance of chest multi-slice spiral CT scan in diagnosis of occupational pneumoconiosis

Objective To investigate the application and clinical significance of chest multi-slice spiral CT scan in the diagnosis of occupational pneumoconiosis.Methods A total of 110 patients with occupational pneumoconiosis admitted to our hospital from August 2017 to August 2018 were enrolled.X-ray examination and chest multi-slice spiral CT scan were performed among all the patients.Types of pneumoconiosis and intrapulmonary complications of the two examination methods were compared.Results The number of cases of pleural adhesions,cavities,patchy shadows,and lesions detected by multi-slice spiral CT scan was larger than that detected by X-ray examination(P<0.05).The number of cases of pleural thickening,hilar lymph node enlargement,pulmonary bulla and pulmonary emphysema detected by multi-slice spiral CT scan was larger than that detected by X-ray examination(P<0.05).Conclusion In the diagnosis of occupational pneumoconiosis,chest multi-slice spiral CT scan has more accurate diagnosis results and higher diagnosis rate.