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1. 重庆医科大学附属永川医院神经内科脑血管病研究重庆市重点实验室
2. 重庆医科大学附属永川医院放射科
3. 重庆医科大学附属永川医院中心实验室
纸质出版日期:2021,
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[1]高梦涵,苏丽平,廖娟,胡勇.新型冠状病毒型肺炎临床分型与感染肺段的CT相关性分析[J].西南医科大学学报,2021,44(02):169-172.
GAO Menghan, SU Liping, LIAO Juan, et al. An analysis of correlation between clinical classification and CT of the infected lung segments in coronavirus disease 2019[J]. Journal of Southwest Medical University, 2021,44(2):169-172.
[1]高梦涵,苏丽平,廖娟,胡勇.新型冠状病毒型肺炎临床分型与感染肺段的CT相关性分析[J].西南医科大学学报,2021,44(02):169-172. DOI:
GAO Menghan, SU Liping, LIAO Juan, et al. An analysis of correlation between clinical classification and CT of the infected lung segments in coronavirus disease 2019[J]. Journal of Southwest Medical University, 2021,44(2):169-172. DOI:
目的:探讨新型冠状病毒肺炎(COVID-19)肺段感染的特征
及其与临床的相关性
为COVID-19的诊治提供一定参考。方法:回顾分析90例COVID-19患者的胸部CT影像及临床资料
对肺段感染的数目、位置、分布进行重点分析
统计肺段感染数目与临床分型的相关性。结果:胸部CT未见异常8例
异常82例
单个肺段感染12例
单侧肺感染24例
双肺感染58例。肺段病灶形态以斑片、球形为主
密度以磨玻璃样改变为主
实变相对较少。感染肺段在下背段、下外段、下后段中占比超过50%。不同临床疾病分型的感染肺段数不同
临床分型越重感染肺段数越多
差异均具有统计学意义(P <0.05)。结论:COVID-19病灶较多分布在双肺下背段、下外段、下后段。肺段感染个数与临床分型存在显著正相关
有利于临床对病程及严重程度进行评估。
Objective: To explore the characteristics of lung segment infection in coronavirus disease 2019(COVID-19)and its clinical relevance
and to provide a certain reference for the diagnosis and treatment of COVID-19.Methods: A retrospective analysis was performed for the chest computed tomography(CT)findings and clinical data of 90 COVID-19 patients
with special attention to the number
location
and distribution of lung segments infected
and the correlation between the number of infected lung segments and clinical classification was calculated. Results: Chest CT showed no abnormalities in 8 cases
and abnormalities in 82 cases
among whom 12 had infection in a single lung segment
24 had infection in one lung
and 58 had infection in both lungs. The lung lesions were mainly patchy or spherical and appeared mostly as ground-glass opacities
with little consolidation. More than 50% of the infections occurred in the lower superior
lower lateral
and lower posterior segments. The number of infected lung segments varied significantly across different clinical types of COVID-19;the more severe the clinical type
the greater the number of infected lung segments(P < 0.05). Conclusion: COVID-19 lesions are mostly distributed in the lower superior
lower lateral
and lower posterior segments of both lungs. There is a significant positive correlation between the number of infected lung segments and the clinical classification of COVID-19
which is helpful for clinical evaluation of the course and severity of the disease.
新型冠状病毒肺炎肺段计算机断层扫描
Coronavirus disease 2019PneumoniaLung segmentComputed tomography
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