| 引用本文: | 张晓萍,许靖,徐明月,黄慧仪,李朝隆,林子乔.新型冠状病毒肺炎的影像学诊断与疗效评价[J].中国临床新医学,0,():-. |
| zhangxiaoping.新型冠状病毒肺炎的影像学诊断与疗效评价[J].中国临床新医学,0,():-. |
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| 新型冠状病毒肺炎的影像学诊断与疗效评价 |
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张晓萍1, 许靖2, 徐明月2, 黄慧仪2, 李朝隆2, 林子乔2
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1.中山市第二人民医院放射科;2.广东省中山市第二人民医院放射科
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| 摘要: |
| 目的 探讨新型冠状病毒肺炎(Novel coronavirus pneumonia,NCP)的影像学诊断与疗效评价。方法 纳入确诊新型冠状病毒(COVID-19)核酸阳性61例患者的临床病史、实验室检查及胸部影像学资料,回顾性分析患者发病时以及治疗后流行病学、临床特点以及胸部影像学特点。结果 61例新型冠状病毒肺炎患者中49例有流行病学史和国外旅居史,其中48例来自湖北,1例来自西班牙；胸部CT表现磨玻璃影34例、节段性斑片实变影6例,铺路石征28例,结节伴晕征4例,空气支气管征28例,血管束增粗29例,小叶间隔增厚12例,散在粗大纤维条索灶15例,胸膜下线11例,反晕征2例,病灶长轴与胸壁平行分布15例,胸膜增厚粘连8例,单侧或双侧胸膜腔积液2例,总检出率依次分别为：55.74%、9.84%、45.90%、6.56%、45.90%、47.54%、19.67%、24.59%、18.03%、3.28%、24.59%、13.11%、3.27%；经过治疗后复查肺内残留纤维条索影23例(37.70%),小叶间隔增厚6例(9.84%),胸膜下弧线影11例(18.03%),右肺中叶及左肺上叶舌段支扩1例(1.63%),胸膜增厚粘连5例(8.20%),完全吸收3例(4.92%)。结论 新型冠状病毒肺炎最常见的胸部影像学表现是磨玻璃样影、铺路石征、空气支气管征、血管束增粗等典型征象,病灶变化迅速；随访观察肺叶内可见残留条索影,小叶间隔增厚,呈现早期纤维化的特点,影像学评价NCP的诊断及征象的转归具有重要的价值,为临床诊断和治疗提供必要的支持。 |
| 关键词: 新型冠状病毒肺炎 体层摄影术 X线计算机 实验室检查 |
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| Imaging diagnosis and Efficacy evaluation of novel coronavirus pneumonia(NCP) |
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zhangxiaoping
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zhong shan shi di er ren min yi yuan
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| Abstract: |
| Objective: To investigate the imaging diagnosis and curative effect evaluation of novel coronavirus pneumonia (NCP). Methods: Patients confirmed with (COVID-19) infection (n = 61) by nucleic acid detection (positive) were included in the study. Clinical medical history, laboratory examination results and chest CT imaging data were collected, and epidemiology, clinical characteristics and chest imaging features of the 61 patients on onset and after treatment were retrospectively analyzed. Results: Among the 61 NCP patients, 49 cases had epidemiological history and travel and residence history in foreign countries. Of the 49 cases, 48 cases were from Hubei and 1 case from Spain. Chest CT findings: there were 34 cases of ground-glass shadow, 6 cases of segmental patchy consolidation shadow, 28 cases of crazy-paving sign, 4 cases of nodule with halo sign, 28 cases of air bronchogram sign, 29 cases of vascular bundle thickening, 12 cases of interlobular septum thickening, 15 cases of scattered thick fibrous bands, 11 cases of subpleural curvilinear shadow, 2 cases of reversed hato sign, 15 cases of long axis of the lesion in parallel distribution with chest wall, 8 cases of pleural thickening and adhesion and 2 cases of unilateral or bilateral pleural effusion, with the total detection rates being 55.74%, 9.84%, 45.90%, 6.56%, 45.90%, 47.54%, 19.67%, 24.59%, 18.03%, 3.28%, 24.59%, 13.11% and 3.27%, respectively. After treatment, patients were reexamined, and there were 23 cases (37.70%) of residual fibrous band shadow, 6 cases (9.84%) of interlobular septum thickening, 11 cases (18.03%) of subpleural curvilinear shadow, 1 case (1.63%) of lingular segment bronchiectasis at middle lobe of right lung and upper lobe of left lung, 5 cases (8.20%) of pleural thickening and adhesion and 3 cases (4.92%) of complete absorption. Conclusion: The most common chest imaging findings of NCP included ground glass-like shadow, crazy-paving sign, air bronchogram sign, vascular bundle thickening and other typical signs, and the lesions showed rapid changes. The follow-up revealed that residual fibrous band shadow and lobular septum thickening were visible in the observation of the lung lobes, presenting a characteristic of early fibrosis. It was of great value to apply imaging evaluation to the diagnosis and the outcome of signs in NCP patients, thus providing necessary support for clinical diagnosis and treatment of NCP. |
| Key words: Novel coronavirus pneumonia (NCP) Tomography X-Gray Computed Laboratory inspection |
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