【摘要】 目的 分析对比多层螺旋CT与X线平片在新生儿肺透明膜病中的诊断价值。方法 回顾性分析经临床确诊的26例新生儿肺透明膜病,对照其多层螺旋CT与X线平片表现。结果 CT阳性26例(100%),其中Ⅰ级17例、Ⅱ级0例、Ⅲ级9例、Ⅳ级0例,X线平片阳性22例(85%),其中Ⅰ级12例、Ⅱ级2例、Ⅲ级6例、Ⅳ级2例。CT显示肺部小颗粒状影、毛玻璃征、支气管充气征、气胸、肺出血和肺炎分别为26、26、15、5、4、7例,X线平片分别为13、15、10、1、1、6例。经过χ~2检验,CT和X线平片在显示小颗粒状影、毛玻璃征、支气管充气征、肺出血、气胸方面,两者差异有统计学意义(P<0.05),CT较X线平片有优势,CT和X线平片在阳性率和显示肺炎方面,两者差异无统计学意义(P>0.05)。结论 多层螺旋CT较X线平片对早期诊断新生儿肺透明膜病和显示病灶细节方面更具有价值。更多还原

【Abstract】 Objective To analyze the diagnostic value of multi-slice spiral CT and X-ray plain film in pulmonary hyaline membrane disease of newborn.Methods There were 26 cases of pulmonary hyaline membrane disease of newborn confirmed by clinical data.CT and X-ray findings were analyzed retrospectively.Results The lesions of pulmonary hyaline membrane disease in all cases were showed by CT(100%),including 17 cases in grade I and 9 cases in grade Ⅲ,while the lesions in 22 cases showed by radiography(85 %),including 12 cases in grade Ⅰ,2 cases in grade Ⅱ,6 cases in grade Ⅲ and 2 cases in grade Ⅳ.The lesions appeared as small granular shadows,ground glass,air bronchogram,pneumothroax,pulmonary hemorrhage and pneumonia in 26,26,15,5,4 and7 on CT images respectively,and in 13,15,10,1,1 and 6 on radiography,respectively.These findings above besides pneumonia were statistically significant difference using χ~2 test between CT and X-ray plain films(P<0.05).Conclusion CT is more superior to X-ray in the early diagnosis and showing the details of pulmonary hyaline membrane disease of newborn.更多还原