本文選題：肺疾病 + 體層攝影術(shù)��； 參考：《中國臨床醫(yī)學(xué)影像雜志》2017年08期

【摘要】：目的 :統(tǒng)計正常成人前心膈角區(qū)肺內(nèi)局灶性斑片狀高密度影(Focal patchy clouding opacity in lung adjacent to the anterior cardiophrenic angle,FPCOLACA)的發(fā)生率,探討其影響因素。方法 :回顧性分析2015年1月—2016年4月我院行胸部CT平掃的常規(guī)體檢人員。所有人員均無咳嗽、咳痰等肺部相關(guān)癥狀;無肺部腫瘤、結(jié)核及大片滲出病灶等疾病;無心臟疾病;既往無肺部、心臟手術(shù)史;無心、肺、胸廓發(fā)育畸形。最后在符合標(biāo)準(zhǔn)的受檢者中隨機(jī)抽取500例作為研究對象,包括女269例,男231例,年齡(53.8±15.5)歲。統(tǒng)計FPCOLACA的發(fā)生率,利用Logic回歸分析探討其與心型、心胸比、性別、年齡、肥胖程度及局部胸膜增厚之間的關(guān)系,以P0.05為差異有統(tǒng)計學(xué)意義。結(jié)果:500例受試者中右側(cè)FPCOLACA為15.6%,左側(cè)為19.6%。Logic回歸分析顯示FPCOLACA和年齡、心型有關(guān)(P0.05),和性別、肥胖程度和局部胸膜增厚無關(guān)(P0.05)。右側(cè)FPCOLACA常見于≥55歲者,左側(cè)常見于56歲者。橫位心更易出現(xiàn)FPCOLACA(P0.05)。結(jié)論 :正常成人可以出現(xiàn)FPCOLACA,它是沒有重要病理生理及臨床意義的影像征象,其出現(xiàn)與年齡、心型有關(guān)。
[Abstract]:Objective: to investigate the incidence of focal flaky high density patchy clouding opacity in lung adjacent to the anterior cardiophrenic (FPCOLACA) in the anterior phrenic angle area of normal adults. Methods: from January 2015 to April 2016, routine chest CT scan was performed in our hospital. There were no lung related symptoms such as cough, expectoration and sputum, no lung tumor, tuberculosis and massive exudative lesions, no heart disease, no history of lung surgery, no heart, lung and thoracic deformity. Finally, 500 subjects were randomly selected, including 269 females and 231 males, aged 53.8 鹵15.5 years. The incidence of FPCOLACA was analyzed and the relationship between FPCOLACA and cardiac type, cardiothoracic ratio, sex, age, obesity degree and local pleural thickening was studied by Logic regression analysis. Results the right FPCOLACA was 15.6and the left was 19.6.Logic regression analysis showed that FPCOLACA was related to age, heart type, sex, obesity and local pleural thickening. The right FPCOLACA was more common in the patients over 55 years old and in the left side in the 56 years old group. In transverse position, FPCOLACAA P0.05 is more likely to appear. Conclusion: FPCOLACA can be seen in normal adults. It is an imaging sign with no important pathophysiological and clinical significance, and its appearance is related to age and cardiac type.
【作者單位】： 西南醫(yī)科大學(xué)附屬醫(yī)院放射科;
【分類號】：R563;R816.41
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本文編號：2000363