ISSN 1004-4140
CN 11-3017/P

肺间质性疾病CT严重度分级及与肺功能的相关性研究

The Correlation between Computed Tomography Severity Grade and Pulmonary Function in Interstitial Lung Disease

  • 摘要: 目的:探讨肺间质性疾病CT评分与肺功能的相关性,对患者进行CT严重度分级,评估其可靠性,为临床诊治提供更可靠的依据。方法:搜集60例经临床诊断为间质性肺疾病的患者,同时行胸部CT及肺功能检查,肺功能指标为DLCO%、FEV1%。通过CT征象对患者进行评分和严重度分级,1~10分为轻度,11~20分为中度,21~30分为重度。CT评分与肺功能指标进行相关性分析,并对3个级别患者的肺功能参数进行组间比较、均数间的两两比较。结果:CT严重度分级轻度患者 13例,中度患者31 例,重度患者16 例,CT评分与DLCO%、FEV1%呈负相关,r分别为−0.814,−0.797;3组级别患者DLCO%、FEV1%均值组间比较、均数两两比较有统计学意义。结论:肺间质性疾病的CT征象评分与肺功能指标有良好的相关性,不同CT严重度分级患者的肺功能指标有统计学意义,能给临床对疾病的评估及诊疗提供新的依据。

     

    Abstract: Objective: To assess whether there is a correlation between CT scan severity score and pulmonary function in Interstitial Lung Disease, and provide a more reliable basis for clinical diagnosis and treatment. Materials and Methods: Sixty patients with clinical diagnosis of Interstitial Lung Disease (ILD) were collected, and chest CT and pulmonary function tests were performed at the same time. Here DLCO% and FEV1% were used as the pulmonary function indexes. The severity of the patients was assessed by CT scores as mild (range, 1~10), moderate (range 11~20), and severe (range 21~30). Correlation analysis was carried out between CT score and pulmonary function index, and the lung function parameters of patients at three grades were compared between groups and pairwise among the means. Results: As per the CT severity classification, there were 13 mild cases, 31 moderate cases, and 16 severe cases. CT score was negatively correlated with DLCO% and FEV1%. R value was −0.814 and −0.797, respectively; The comparison of the mean value of DLCO% and FEV1% among the three groups and the pairings of the mean value of DLCO% and FEV1% were statistically significant. Conclusion: There was good correlation between CT score of ILD and the pulmonary function index. The pulmonary function index of patients with different CT severity grading was statistically significant, which can provide a new basis for the clinical evaluation and diagnosis of the disease.

     

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