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昆明市第一人民医院呼吸内科
纸质出版日期:2011,
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[1]戴百章,李梅华,杨艳霞,任朝凤.振动反应成像系统对肺不张的诊断价值探讨[J].重庆医科大学学报,2011,36(12):1472-1474.
DAI Bai-zhang, LI Mei-hua, YANG Yan-xia, et al. Study of the value of vibration response imaging in diagnosis of pulmonary atelectasis[J]. Journal of Chongqing Medical University, 2011,36(12):1472-1474.
目的:探讨振动反应成像系统(Vibration response imaging system
VRI)对肺不张诊断的价值。方法:回顾性分析2008年10月1日至2010年5月1日期间同时参与VRI检测和胸部CT检测的502例患者
分析应用VRI诊断肺不张的可行性。结果:健康志愿者与肺不张患者之间平均值的比较
除右中叶肺野肺部定量数据(Quantitative lung data
QLD)之间差异无统计学意义外
其余肺野QLD之间差异均有统计学意义(P<0.05)。健康志愿者与肺不张患者变异度之间差异有统计学意义(2.893±0.838 vs 6.816±1.878)。采用Kappa分析VRI与CT诊断肺不张的一致性
当肺不张患者变异度在80%区间估计值(x±1.28s)时
Kappa系数为0.734(P<0.05)
振动反应成像系统对肺不张的诊断与CT诊断有很好的一致性。结论:VRI对肺不张的诊断与胸部CT检测结果有很好的一致性。在肺不张的诊断中
CT可提供肺不张患者肺部病变的影像学客观资料
而VRI则更多提供患者功能评估方面的参考依据
VRI在肺不张诊断和预后评估方面具有其独特的优势。
Objective:To explore the value of vibration response imaging system(VRI) in the diagnosis of pulmonary atelectasis.Methods:It was analyzed retrospectively that 502 patients were detected with VRI and thoracic CT from Oct 1
2008 to May 1
2010
so as to study whether it was feasible to use VRI in the diagnosis of pulmonary atelectasis.Results:There was significant difference in distribution of mean quantitative lung data(QLD) between healthy volunteers and patients with pulmonary atelectasis except lobus centralis dexter of lung field(P<0.05).There was significant difference in variation between healthy volunteers and patients with pulmonary atelectasis(2.893±0.838 vs 6.816±1.878).Kappa analysis was used to analyze consistency in the diagnosis of pulmonary atelectasis.It had commendable consistency between VRI and CT when the data of VRI variation fluctuated in 80% confidence interval of the difference(x±1.28s).Conclusion:It has commendable consistency between VRI and CT in the diagnosis of pulmonary atelectasis.CT gives us objective imageology information of pulmonary pathological changes
and VRI provides us with more reference of function assessment in patients with pulmonary atelectasis.VRI has special advantage in diagnosis and prognosis assessment of pulmonary atelectasis.
肺不张振动反应成像Kappa分析
pulmonary atelectasisvibration response imagingKappa analysis
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