DR摄片在尘肺检查与诊断中的应用与探索.docxVIP

DR摄片在尘肺检查与诊断中的应用与探索 皖北煤电集团总医院 安徽宿州341300 摘要：目的探讨DR摄片在尘肺检查与诊断中的应用。方法 选取2015年 4月?2015年10月间皖北煤电集团牛产矿井一线职工10134名进行职业健康体 检，筛查出的86例疑似尘肺病患者作为研究对象，分别拍摄HKV胸片和DR胸 片各一张，分析和比较两种检查方法的肺纹理清晰度以及胸片质量。结果DR胸 片的优良率为93.02%, HKV胸片为81.40%, DR胸片优良率显著高于HKV胸片， 差异具有统计学意义(P0.05)； DR胸片有效率为90.69%, HKV胸片为75.58%, HKV胸片有效率显著低于DR胸片，差异具有统计学意义(PV0.05)。结论DR 摄片技术在尘肺检查与诊断中的应用价值显著优于高千伏胸片技术，且该方法具 有影像清晰度高、曝光时间短、胸片质量高等优点，值得在临床应用。 关键词：DR摄片；尘肺；应用与探索 [Abstract ] objective to investigate the DR radiography applications in pn eumoc on iosis in diag no sis.Method to choose betwee n April 2015 to October 2015 of wanbei coal group mine product!on line worker 10134 occupational health check-up, screeni ng out of 86 cases of suspected pneumoc on iosis patients as the research object, photograph HKV chest radiographs and DR chest radiographs taken respectively, an a lyze and compare two methods of in spection of lu ng texture resolution and quality of chest radiography.Results DR chest radiograph of fine rate was 93.02%, HKV chest radiograph was 81.40%, DR chest radiograph was significantly higher tha n the HKV chest radiograph, statistically sign ifica nt d iff ere nee (P lt; 0.05)； DR chest radiograph effective rate of 90.69%, HKV chest radiograph was 75.58%, HKV chest radiograph efficient significantly below DR chest radiograph, statistically significa nt differe nee (P lt; 0.05) .Conclusi on DR radiography tech no logy in the application of pneumoconiosis in diagnosis value significantly better than that of high kv chest radiograph tech no logy, and the method has high image sharp ness, exposure time is short, high quality of chest radiography, worth in clinical application. 【Key words 】 DR radiography； Pneumoconiosis； Application and explore 目前，尘肺病是我国最普遍的一种职业病，具有患病率高、危害患者身体健 康、病患劳动能力逐渐丧失以及危害生命健康等特点［1］。尘肺病主要是由于人 们在职业活动中长吋间吸入生产性粉尘口滞留于肺部而造成的一种以肺组织弥 漫性纤维化为主的全身性疾病［2］。研究表明，尘肺病的早期检查与诊断能有效 预防尘肺病的发病率，通过改善工作环境或调离原工作岗位，控制病程进展，缓 解患者症状，改善生活质量有着极其重要的意义。随着医疗技术的快速发展，近 年来，医学者们不断探寻能显著降低尘肺病发生率的方法。本文探讨直接数字化 X线摄影(DR)在尘肺检查与诊断中的应用，现汇报如