CT和传统X线诊断慢阻肺合并肺间质纤维化患者的临床效果
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【摘要】目的：探索慢阻肺合并肺间质纤维化病症运用CT和传统X线诊断价值。方法：筛选我院2019年1月—2021年9月收治的疑似（慢阻肺+肺间质纤维化）患者为研究对象（确诊76例），对患者分别行CT检查与传统X线检查，计算诊断符合率、灵敏度、特异度与不同程度病症检出率，观察影像学特征。结果：80例疑似慢阻肺合并肺间质纤维化患者（综合病理确诊76例），传统X线检出阳性70例，真阳性67例，阴性10例，真阴性1例；CT诊断检出阳性76例，真阳性75例，阴性4例，真阴性3例，传统X线诊断符合率、灵敏度、特异度（85.00%、88.16%、25.00%）低于CT诊断（97.50%、98.68%、75.00%），差异显著（P0.05），轻度患者诊断中传统X线诊断相比CT诊断差异显著（P
【关键词】慢阻肺；CT；传统X线；肺间质纤维化
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
慢阻肺是临床上一种常见的病症，该病症是指慢性阻塞性肺疾病，由于气流受限为特征的肺部疾病，气流受限不完全可逆[1]，且呈现出明显的进行性发展，随着病情进展可造成肺功能降低，出现呼吸困难、胸闷情况，需要及时治疗[2]。（剩余2797字）