Effect of spiral CT three-dimensional reconstruction combined with fiberoptic bronchoscopy in etiological diagnosis of atelectasis
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摘要:
目的评估螺旋CT三维重建技术联合纤维支气管镜在肺不张病因诊断中的临床价值。 方法以2017年2月~2019年2月于我院进行诊断与治疗的84例肺不张患者为研究对象,依据随机数字表法将其划分为2组,各42例。实验组患者通过螺旋CT三维重建联合纤维支气管镜进行肺不张病因诊断,对照组患者通过纤维支气管镜进行病因诊断。分析两组肺不张患者的病因诊断阳性率,诊断检查耗时及不良反应发生率的差异。 结果以病理检查结果为金标准,实验组的病因诊断阳性率为100.0%,对照组的病因诊断阳性率为92.9%。实验组的诊断检查耗时少于对照组(12.07±2.39 min vs 16.14±1.86 min,P<0.05);实验组的不良反应(出血、呕吐、缺氧、医源性气胸、气管痉挛、心律失常)总发生率为4.8%,显著低于对照组的19.0%(P<0.05)。 结论螺旋CT三维重建联合纤维支气管镜可以提高肺不张病因的诊断水平,同时减少纤维支气管镜检查所耗时间,降低检查过程中不良反应的发生率。 Abstract:ObjectiveTo evaluate the value of spiral CT three-dimensional reconstruction combined with fiberoptic bronchoscopy in etiological diagnosis of atelectasis. MethodsEighty-four patients with atelectasis who were diagnosed and treated in our hospital from February 2017 to February 2019 were selected as the study subjects. According to the random number table method, the subjects were divided into two groups, 42 cases each. The experimental group was diagnosed by spiral CT three-dimensional reconstruction combined with fiberoptic bronchoscopy, while the control group was diagnosed by fiberoptic bronchoscopy. The differences of positive rate of etiological diagnosis, diagnostic examination time and incidence of adverse reactions between the two groups were analyzed. ResultsWith pathological examination as the gold standard, the positive rate of etiological diagnosis in the experimental group was 100.0%, and the control group was 92.9%. The diagnostic time of the experimental group was 12.07±2.39 min, which was significantly shorter than that of the control group (16.14±1.86 min, P<0.05). The incidence of adverse reactions (bleeding, vomiting, hypoxia, iatrogenic pneumothorax, tracheospasm, arrhythmia) in the experimental group was 4.8%, which was significantly lower than that of the control group (19.0%, P<0.05). ConclusionThe spiral CT three-dimensional reconstruction combined with fiberoptic bronchoscopy could improve the diagnostic level of etiology of atelectasis. At the same time, it can reduce the time consumed and the incidence of adverse reactions in the process of examination by fiberoptic bronchoscopy. -
表 1 两组肺不张患者临床资料信息比较(n=42)
组别 年龄(岁,Mean±SD) 男/女 病变位置 右肺(全肺/上肺/中肺/下肺) 左肺(全肺/上肺/中肺/下肺) 对照组 45.25±5.14 26 / 16 24(6 / 7 / 6 / 5) 18(4 / 5 / 4 /5) 实验组 46.64±4.98 25 / 17 26(7 / 5/ 8 / 6) 16(3 /4 / 5/ 4) 表 2 两组患者诊断阳性率的比较结果[n(%)]
组别 比较 炎症 结核 肿瘤 异物 总阳性率 实验组 金标准 12 14 12 4 42 诊断结果 12(100.0) 14(100.0) 12(100.0) 4(100.0) 42(100.0) 对照组 金标准 14 11 11 6 42 诊断结果 14(100) 9(81.8) 10(90.9) 6(100.0) 39(92.9) 表 3 两组患者不良反应发生率的比较结果[n=42,n(%)]
组别 出血 呕吐 缺氧 气胸 气管痉挛 心律失常 合计 实验组 0(0.0) 1(2.4) 1(2.4) 0(0.0) 0(0.0) 0(0.0) 2(4.8) 对照组 0(0.0) 2(4.8) 3(7.1) 2(4.8) 1(2.4) 0(0.0) 8(19.0) -
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