16层螺旋CT低剂量扫描在活动性继发性肺结核复查中的可行性及临床价值.pdfVIP

M M 1 BIMONTHLY Vol24 No.l Feb 2015 16 层螺旋 CT 低剂量扫描在活动性继发性|?λ| 肺结核复查中的可行性及临床价值 广东省惠东县人民医院放射科(5163∞) 陈国财易海玲孙占友黄立康刘星宇 [摘要] 目的:研究 16 层螺旋 CT低剂量扫描在活动性继发性肺结核复查中的检查效果。材料与方法:选取 130 例活动性继发性肺结核病人为研究对象，对 130 例患者行常规扫描后再行低剂量扫描。比较常规剂量组和低剂 量组 CT 扫描的效果及使用刑量。结果:两组扫描图像质量比较无统计学差异 (P 0.05) ;两组薄层重建图像质量 比较无统计学差异(P 0. 05); 两组扫描影像学、薄层重建影像学比较，差异无统计学意义 (P O. 05) 。观察组 ED、 D四和 CTDIvol 等指标明显低于对照组(PO.OI) 。即观察组扫描辐射剂量显著低于对照组 (P 0. 01) 。结论: 螺旋 CT 低剂量扫描用于活动性继发性肺结核的复查，可以获得与常规剂量接近的检查效果，并可有效减少 CT 扫 描中的辐射剂量。因此提高了肺结核复查的安全性，节约了检查成本。 关键词:螺旋 CT 肺结核复查剂量可行性 The F阅sib副ty and Clinical Value of 16 Slice Spiral CT wi曲Low Dose Sca皿由19 in Active Pulmonary Tuberculosis Cheng Guocai Yi Hailing Sun Zhanyou Huang Likang Liu Xingyu Department of Radiolo町， Huidong County People Hospital Guangdong 516300 [ Abstract] Purpose: To study detection effect of 16 甲时 CT with low dose scanning in active pulmonary tt加culo- sis. Materials and Methods: 130 Cases of active pulmonary tuberculosis patients were selected 国由 object of study , and 130 patients were treated by conventional scanning and then low dose scanning. CT scanning effect and dose of conventional dose group and low dose group were compared. R础dts: No si伊ificant differences between scan image quality of the two group were found (P O. 05) ; and no si伊ificant differences were found between thin slice reconstruction image quality of the two groups (P O. 05) ; The scanning imaging , thin slice reconstruction image of two groups we陀 of no significant difference (P0.05). 币le 01配rvation group ED , DLP and CTDlvol were significantly lower than those in the control group (P O. 01 ) . 咀e observation group s scanning radiation do盹 W皑白伊ficantly lower than the control group (P O. 01 ). Conclusion: Low dose spiral CT for the review of active pulmonary tuberculosis , can obtaining inspection results like conventional dose close , and effectively reduce the radiation dose in CT scanning. Therefore , to improve 出e security of pulmon缸y tuberculosis review , save exam