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目的:研究分析老年慢性肺炎患者的影像学诊断价值,并总结老年慢性肺炎患者的X线和CT表现。方法:对2013年1月~2016年9月收治的老年慢性肺炎患者58例临床资料进行回顾性分析,所有患者均进行X线和CT检查,总结X线和CT结果的特点。结果:58例患者X线表现有局灶性病变,为不规则、类椭圆型,边界模糊不均,密度不均或均匀。CT有局灶病变,轮廓光整或不齐,边缘模糊或不清楚,病变密度低,其病变周边9例有毛玻璃晕环,15例有增粗血管影,19例局部胸膜肥厚。58例患者通过影像学诊断准确21例,与综合诊断结果比较,P<0.05。结论:老年慢性肺炎患者的影像缺少特异性,CT联合X线诊断是一种较好的诊断手段,但仍需要医生结合其他方法。
OBJECTIVE: To study the diagnostic value of imaging in elderly patients with chronic pneumonia and to summarize the X-ray and CT findings of elderly patients with chronic pneumonia. Methods: The clinical data of 58 elderly patients with chronic pneumonia admitted from January 2013 to September 2016 were retrospectively analyzed. All the patients were examined by X-ray and CT, and the features of X-ray and CT findings were summarized. Results: Fifty-eight patients had focal lesion of X-ray, irregular, oval-like, uneven border and uneven or even density. CT focal lesions, contouring or missing, fuzzy or unclear edge, lesion density is low, the lesions around the 9 cases of frosted glass halo, 15 cases of thickening of the blood vessels, 19 cases of local pleural hypertrophy. Fifty-eight patients were correctly diagnosed by imaging and 21 cases were compared with the results of comprehensive diagnosis (P <0.05). Conclusion: The images of elderly patients with chronic pneumonia lack specificity. CT combined with X-ray diagnosis is a good diagnostic method, but doctors still need to combine other methods.