【摘要】 目的探讨分析螺旋CT对陶工尘肺结节的鉴别诊断意义。方法选取我院2015年1月至2017年12月收治的22例陶工尘肺患者,比较分析不同成像方式下所获得CT图像的结节分布、大小、范围等特征。结果 HRCT在圆形和不规则小阴影的各类型病灶检出数量最高,10 mm CT次之,而X线胸片最低。在p、q、s、t型上,HRCT、10 mm CT和X线胸片的病灶检出数量比较差异均有统计学意义(P<0.05);在r和u型上,10 mm CT和HRCT的病灶检出数均显著高于X线胸片(P<0.05),但10 mm CT和HRCT的病灶检出数比较差异无统计学意义(P>0.05)。结论螺旋CT对陶工尘肺结节的鉴别诊断具有重要的价值,能够帮助及早准确了解陶工尘肺的发生、发展及病变程度。更多还原

【Abstract】 Objective To explore and analyze the differential diagnostic significance of spiral CT in potter’s pneumoconiosis nodules.Methods 22 cases of patients with potter’s pneumoconiosis admitted to our hospital from January 2015 to December 2017 were selected, and their characteristics of nodular distribution, size and range of CT images obtained by different imaging methods were compared and analyzed. Results The focus detection number of HRCT in round and irregular small shadows was the highest, the 10 mm CT was the second, but the chest X-ray was the lowest. In p, q, s and t types, statistical difference was found in the focus detection number among the HRCT, 10 mm CT and chest X-ray(P <0.05). In r and u types, the focus detection number of 10 mm CT and HRCT was significantly higher than that of chest X-ray(P <0.05), but no statistical difference was found between the 10 mm CT and HRCT in the focus detection number(P>0.05). Conclusions Spiral CT has important value in differential diagnosis of potter’s pneumoconiosis nodules, which can help for early and accurate understanding of the occurrence, development and lesion degree of potter’s pneumoconiosis.更多还原