ISSN 1004-4140
CN 11-3017/P
张禹, 凡平林, 程宜涛, 盛茂, 张茜, 刘波, 朱友志. 临床普通型的新型冠状病毒肺炎CT征象分析[J]. CT理论与应用研究, 2020, 29(2): 129-137. DOI: 10.15953/j.1004-4140.2020.29.02.02
引用本文: 张禹, 凡平林, 程宜涛, 盛茂, 张茜, 刘波, 朱友志. 临床普通型的新型冠状病毒肺炎CT征象分析[J]. CT理论与应用研究, 2020, 29(2): 129-137. DOI: 10.15953/j.1004-4140.2020.29.02.02
ZHANG Yu, FAN Pinglin, CHENG Yitao, SHENG Mao, ZHANG Qian, LIU Bo, ZHU Youzhi. Analysis of CT Features of Novel Coronavirus Pneumonia with Clinical Ordinary Type[J]. CT Theory and Applications, 2020, 29(2): 129-137. DOI: 10.15953/j.1004-4140.2020.29.02.02
Citation: ZHANG Yu, FAN Pinglin, CHENG Yitao, SHENG Mao, ZHANG Qian, LIU Bo, ZHU Youzhi. Analysis of CT Features of Novel Coronavirus Pneumonia with Clinical Ordinary Type[J]. CT Theory and Applications, 2020, 29(2): 129-137. DOI: 10.15953/j.1004-4140.2020.29.02.02

临床普通型的新型冠状病毒肺炎CT征象分析

Analysis of CT Features of Novel Coronavirus Pneumonia with Clinical Ordinary Type

  • 摘要: 目的:探讨临床普通型新型冠状病毒肺炎的CT表现。方法:收集22例符合新型冠状病毒感染的肺炎诊疗方案(试行第七版)临床普通型诊断标准的患者,均于确诊前行肺部CT检查,评估肺内病变的CT征象并记录例数,基于有无磨玻璃样病变(GGO)有无实变、病变数量(单发和多发)的病例数分别列表,基于肺内病变区域(胸膜下区和非胸膜下区)将有无GGO、有无实变的病例数分别列表,采用χ2检验行统计学分析。结果:男性7例,女性15例,单发病灶8例,多发病灶14例。19例(86.4%)出现GGO,15例(68.2%)出现实变,3例(13.6%)出现纤维化改变。铺路石征1例,支气管壁稍增厚2例,小支气管充气征4例,晕结节征1例。21例(95.5%)出现肺胸膜下区病灶,6例(27.3%)出现非胸膜下区病灶。14例多发者均双肺受累,累及右肺上叶11例(50.0%)、右肺中叶7例(31.8%)、右肺下叶15例(68.2%)、左肺上叶15例(68.2%)、左肺下叶10例(45.5%)。肺受累程度Ⅰ级者19例(86.4%)、Ⅱ级者2例(9.1%)、Ⅲ级者1例(4.5%)。左侧少量胸腔积液1例。有无GGO两组之间单发和多发者存在统计学差异(P=0.036),肺的胸膜下区和非胸膜下区两组之间有无GGO及有无实变者均存在统计学差异(P<0.001,P=0.010)。结论:普通型新型冠状病毒感染的肺炎CT征象具有多样性,但仍有一些特征,有助于快速识别。

     

    Abstract: Objective:To investigate the CT features of novel coronavirus pneumonia with clinical ordinary type. Methods:Twenty-two patients, who were diagnosed through the clinical criteria for the diagnosis and treatment of novel coronavirus pneumonia(trial version 7), were examined by CT. CT findings of intrapulmonary lesions were evaluated and recorded, and then, based on the presence or absence of GGO, the number of cases with presence or absence of consolidation and the number of lesions(single or multiple) were listed separately, and based on the location of intrapulmonary lesions(subpleural area and non-subpleural area), the number of cases with or without GGO or consolidation was listed. Statistical analysis was performed by the means of χ2 test. Results:There were 7 males and 15 females. There were 8 cases with single lesion and 14 cases with multiple lesions. GGO occurred in 19 cases(86.4%), consolidation in 15 cases(68.2%), and fibrotic appearance in 3 cases(13.6%). Crazy paving sign occurred in one case, slightly thickened bronchial walls in two cases, air small bronchogram signs in four cases, halo sign in one case. Lesions appeared in the the subpleural area of the lung in twenty-one cases(95.5%), and in the non-subpleural area of the lung in 6 cases(27.3%). In 14 patients with multiple lesions, bilateral lungs were involved, including 11 cases(50.0%) of the right upper lobe, 7 cases(31.8%) of the right lobe, 15 cases(68.2%) of the right lower lobe, and 15 cases of the left upper lobe(68.2%), 10 cases(45.5%) of the left lower lobe. Pulmonary involvement was found in 19 cases with grade Ⅰ(86.4%), 2 cases(9.1%) with grade Ⅱ, and 3 cases(4.5%) with grade Ⅲ. There was a small amount of pleural effusion in one case. There was a statistically difference between single and multiple groups with and without GGO(P=0.036), and there was a statistically difference between the two groups of the subpleural area and non-subpleural area in the aspects of the presence or absence of GGO and consolidation(P<0.001, P=0.010). Conclusion:CT features were diverse in NCP with clinical ordinary type, but there were still some characteristics on CT findings.

     

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