[摘要] 目的 探讨高分辨CT在早期慢性阻塞性肺疾病中的临床诊断价值。方法 整群选取2014年2月—2015年10月在该院收治的确诊的早期慢性阻塞性肺疾病患者56例和同期健康体检者70例分别作为观察组和对照组，进行肺功能检查和高分辨CT检查和评价。结果 针对早期慢性阻塞性肺疾病患者，高分辨CT确诊敏感性为85.7%显著性高于肺功能检查的确诊敏感性28.6%，差异有统计学意义(P﹤0.05)；观察组和对照组在肺功能检查指标FEV1、FEV1/FVCmax、TLC和RV上差异无统计学意义(P﹥0.05)；观察组和对照组在高分辨CT的定量指标全肺、右肺和左肺E/L值上差异有统计学意义(P﹤0.05)。结论 高分辨CT在慢性阻塞性肺疾病的早期诊断中其应用价值明显高于肺功能检查，有重要的诊断价值，值得在临床诊断应用中进一步的推广。

 [关键词] 慢性阻塞性肺疾病；高分辨CT；肺功能检查；早期诊断

 [中图分类号] R563.9；R816.4 [文献标识码] A [文章编号] 1674-0742(2016)05(c)-0176-04

 [Abstract] Objective To study the value of high-resolution CT in clinical diagnosis of early chronic obstructive lung diseases. Methods 56 cases of patients diagnosed with early chronic obstructive lung diseases in our hospital from February 2014 to October 2015 and 70 healthy examined persons at the same period were selected as the observation group and the control group， and both groups were given lung function examination and high-resolution CT examination and evaluation. Results For patients with early chronic obstructive lung diseases， the diagnostic sensitivity of high-resolution CT was obviously higher than that of lung function examination(85.7% vs 28.6%)， and the difference had statistical significance(P(雷茂伟 魏雨田) 第 1 2 3 页 下一页
 百拇医药网 http://www.100md.com/html/paper/1674-0742/2016/15/75.htm