CAJ | 학술논문

目的：分析支原体肺炎的影像学特点，以提高早期诊断及治疗效果，减少误诊。方法：对31例支原体肺炎患者的多层螺旋CT影像资料依据评价指标进行回顾性分析。结果：多层螺旋CT结果显示，31例支原体肺炎患者中发生于单侧为22例(占70.97%)；双肺同时受累为9例(占29.03%)。22例单侧病例中发生于左肺为12例(占38.71%)，其中位于上叶为2例(占6.45%)，位于下叶为10例(占32.26%)。发生于右肺为10例(占32.26%)，其中位于上叶为4例(占12.90%)，位于下叶为4例(占12.90%)，同时累及中叶及下叶为2例(占6.45%)。 CT影像表现提示改变多样，可见磨玻璃影、实变影、支气管充气征、支气管血管束增厚、胸腔积液及纵隔淋巴结肿大。结论：支原体肺炎患者影像学改变多样，胸部多层螺旋CT对其诊断具有一定意义，应结合临床表现和血清学结果对患者病情进行综合评估分析。
목적：분석지원체폐염적영상학특점，이제고조기진단급치료효과，감소오진。방법：대31례지원체폐염환자적다층라선CT영상자료의거평개지표진행회고성분석。결과：다층라선CT결과현시，31례지원체폐염환자중발생우단측위22례(점70.97%)；쌍폐동시수루위9례(점29.03%)。22례단측병례중발생우좌폐위12례(점38.71%)，기중위우상협위2례(점6.45%)，위우하협위10례(점32.26%)。발생우우폐위10례(점32.26%)，기중위우상협위4례(점12.90%)，위우하협위4례(점12.90%)，동시루급중협급하협위2례(점6.45%)。 CT영상표현제시개변다양，가견마파리영、실변영、지기관충기정、지기관혈관속증후、흉강적액급종격림파결종대。결론：지원체폐염환자영상학개변다양，흉부다층라선CT대기진단구유일정의의，응결합림상표현화혈청학결과대환자병정진행종합평고분석。
Objective: To analyze the imaging features of mycoplasma pneumonia in order to improve the early diagnosis and treatment of mycoplasma pneumonia as well as reduce misdiagnosis. Methods:Multislice CT data of 31 mycoplasma pneumonia patients during 2012.4 to 2014.4 in our hospital were retrospectively analyzed. Results:Multislice CT results showed that 22 cases(70.97%) occurred in one side of lung, in which 12 cases (38.71%) located in the left lung(two cases located in the lobi superior(6.45%)and 10 cases located in the lobi inferior(32.26%));10 cases (32.26%) located in the right lung , in which 4 cases located on the lobi superior (12.90%), four cases at the lobi inferior(12.90%), two cases involved both lobi medius pulmonis and lobi inferior(6.45%). 9 cases (29.03%) were double lung involvement. The changes of CT are diverse which included glass-like images, consolidation, air bronchogram, bronchial vascular bundle thickening, pleural effusion and mediastinal lymph nodes enlargement. Conclusion:Patients with mycoplasma pneumonia always have varied radiographic changes and chest multislice CT has a certain sense of early diagnosis.