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HRCT在儿童肺部小气道病变的应用价值
引用本文:何玲,陈欣,刘先凡,余国容,黄开平. HRCT在儿童肺部小气道病变的应用价值[J]. 中国中西医结合影像学杂志, 2010, 8(4): 309-312. DOI: 10.3969/j.issn.1672-0512.2010.04.007
作者姓名:何玲  陈欣  刘先凡  余国容  黄开平
作者单位:重庆医科大学附属儿童医院放射科,重庆,400014
基金项目:重庆市医学科技计划项目 
摘    要:目的:探讨儿童小气道病变的最佳影像学检查方法及表现特征。方法:对100例有小气道阻塞肺功能改变患儿的胸部X线片、螺旋CT及高分辨力CT表现进行比较。结果:高分辨力CT对细支气管壁增厚、树芽征、空气潴留、马赛克征等征象的显示数量最多,螺旋CT和胸部X线片几乎不能显示,统计学有显著性差异(P<0.05)。结论:高分辨力CT在细支气管壁增厚、树芽征、空气潴留、马赛克征等小气道病变征象的显示方面明显优于螺旋CT,是显示小气道病变的最佳、无创的影像学检查方法。

关 键 词:呼吸道疾病  儿童  体层摄影术,X线计算机,高分辨力

Value of high-resolution computed tomography(HRCT) in children's small airways disease of lung
Affiliation:HE Ling, CHEN Xin, LIU Xianfan,et al.( Department of Radiology, The Children' s Hospital of Chongqing Medical University, Chongqing, 400014, China. )
Abstract:Objective: To investigate the best imaging examination methods for children's small airways disease and the imaging characters of small airways disease. Methods: One hundred abnormal children with small airways diseases from Oct. 2004 to Dec. 2007 were examined, then the manifestations of chest X-ray, spiral computed tomography and high-resolution computed tomography were compared. Results: Different imaging signs, such as tree-in-bud pattern, bronchial wall thickening, mosaic perfusion pattern, bronchial mucoid impaction, bronchial dilatation, displayed well in high resolution computed tomography, and showed poor in chest X-ray and spiral computed tomography ( P 〈0.05). Conclusion: For the display of tree-in-bud pattern, bronchial wall thickening, mosaic perfusion pattern, bronchial mucoid impaction, bronchial dilatation, high-resolution computed tomography is the best and atraumatic methods.
Keywords:Respiratory tract disease  Children  Tomography, X-ray computed, High-resolution
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