|
|
|
| Clinical value of digital X-ray imaging system chest radiograph combined with high-frequency CT in the diagnosis of occupational pneumoconiosis |
| OU Xiong-zhang |
| Department of General Internal Medicine,Qingyuan Chronic Disease Prevention and Treatment Hospital,Guangdong Province,Qingyuan 511500,China |
|
|
|
|
Abstract Objective To explore the value of digital X-ray imaging system(DR)chest radiograph combined with highfrequency CT(HRCT)in the diagnosis of occupational pneumoconiosis.Methods A total of 45 patients with occupational pneumoconiosis diagnosed in Qingyuan Chronic Disease Prevention and Treatment Hospital from January 2018 to September 2020 were retrospectively selected as the research subjects,and all were examined by DR chest radiograph and HRCT.The display rates of P shadow,small shadow and large shadow,identification of disease stages,and the coincidence rate of related complications were compared by DR chest radiograph,HRCT examination alone and combined.The imaging quality was compared between DR chest radiograph and HRCT alone.Results The display rate of P shadow of DR chest radiograph combined with HRCT(80.00%)was higher than that of HRCT and DR chest radiograph(60.00%,42.22%),and the differences were statistically significant(P＜0.05).The display rate of small shadow of DR chest radiograph combined with HRCT and HRCT(22.22%,17.78%)was higher than that of DR chest radiograph(2.22%),and the differences were statistically significant(P＜0.05).The overall coincidence rate of DR chest radiograph combined with HRCT and HRCT in the diagnosis of pneumoconiosis(100.00%,93.33%)was higher than that of DR chest radiograph(71.11%),and the differences were statistically significant(P＜0.05).The coincidence rate of DR chest radiograph combined with HRCT to differentiate stage Ⅰpneumoconiosis(57.78%)was higher than that of DR chest radiograph(35.56%),and the difference was statistically significant(P＜0.05).The coincidence rates of DR chest radiograph combined with HRCT and HRCT in the identification of emphysema,pleural thickening,pneumothorax,and bullae were higher than those of DR chest radiograph,and the differences were statistically significant(P＜0.05).The imaging quality of HRCT was higher than that of DR chest radiograph,the difference was statistically significant(P＜0.05).Conclusion The combined application of DR chest radiograph and HRCT in the diagnosis of occupational pneumoconiosis can improve the display rate of P shadow and the accuracy of disease staging and complication identification.
|
|
|
|
|
|
| [8] |
李巍伟.高仟伏X 线胸片与DR 胸片在煤工尘肺阴影评价和诊断分期的对比[J].中国工业医学杂志，2018，31（3）：181-182.
|
| [9] |
余梁，周丽芬，徐婷婷，等.数字X 线摄影联合双能量减影技术在尘肺病诊断中的应用价值[J].安徽医学，2018，39（9）：1093-1095.
|
| [10] |
李海玲.直接数字化X 线摄影技术诊断尘肺病的价值[J].广西医学，2018，40（21）：2559-2561.
|
| [11] |
刘亚，胡茂能，徐婷婷，等.胸部数字摄影窗口技术在尘肺诊断中的应用价值[J].安徽医学，2018，39（9）：1060-1063.
|
| [3] |
王鑫宏，孙建忠，胡婷婷，等.应用高分辨率CT 局部放大重建提高肺部小结节结构精准诊断的价值[J].中华放射学杂志，2020，54（2）：119-123.
|
| [4] |
雷强，万齐，邹乔，等.基于HRCT 图像的纹理分析技术在鉴别良恶性肺部病变中的价值[J].放射学实践，2018，33（12）：1246-1250.
|
| [5] |
曹殿凤，侯翠翠，李雪飞.上肺区高密集度q 影尘肺患者肺功能分析[J].中国工业医学杂志，2019，32（2）：100-101.
|
| [6] |
林涛，倪昕晔，高留刚，等.不同放疗定位CT 扫描条件对气管支架图像质量影响的研究[J].中国医疗设备，2019，34（8）：85-88.
|
| [7] |
曲良勇，苑翠红，钮建武，等.数字X 射线摄影在尘肺筛查中的应用研究[J].中国辐射卫生，2018，27（5）：507-510.
|
| [12] |
关晓熙，张焕彩，陈嘉兴，等.数字X 线摄影负相翻转技术在尘肺病诊断中的应用研究[J].实用放射学杂志，2020，36（5）：819-821.
|
| [13] |
袁焕初，郑晓林，邹玉坚，等.肺磨玻璃样病变高分辨率CT 的质地分析及其对早期肺癌的诊断价值[J].临床放射学杂志，2018，37（2）：252-256.
|
| [14] |
王睿，张慧，丁毅，等.间质性肺疾病高分辨率CT 常见征象的超声特点[J].中华结核和呼吸杂志，2020，43（7）：564-570.
|
| [15] |
陈国伟.不同管电流VHRCT 在肺部健康体检中的应用[J].医学影像学杂志，2019，29（4）：687-690.
|
| [16] |
刘刚.HRCT 对肺内良，恶性病变评估的临床价值[J].江苏医药，2019，45（7）：742-743.
|
| [17] |
温小庭，陈竞雄，陈伟，等.高千伏X 线片，DR，CT 在尘肺病诊断中的应用研究[J].影像研究与医学应用，2020，4（8）：86-87.
|
| [1] |
周秀丽.尘肺患者肺灌洗术中病情观察与护理[J].重庆医学，2018，47（A1）：438-440.
|
| [2] |
朱春梅，陈步东，靳二虎.尘肺病影像学诊断研究进展[J].临床和实验医学杂志，2019，18（6）：668-670.
|
| [18] |
温晓玲，伍东升，蔡舒，等.煤工尘肺的薄层16 层螺旋CT 表现特征的优势分布及其病理基础[J].华西医学，2019，34（1）：30-34.
|
| [19] |
宁琼，王丽华，谷晓新，等.DR 和HKV 胸片在尘肺病诊断中的应用对比[J].中国工业医学杂志，2018，31（2）：115-117.
|
|
|
|
