多探测器计算机断层扫描在咯血患者诊断和评估中的作用

H. Ahmed, M. Mohammed, N. Metwally
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引用次数: 0

摘要

目的探讨多探测器计算机断层扫描(MDCT)在咯血诊断和评估中的作用。患者和方法:这是一项前瞻性研究,共对20例咯血患者进行了研究,这些患者均从El-Zahra医院胸科和临床转介到放射科进行了164层MDCT检查;本研究获得研究所伦理委员会批准后,于2020年1月至2021年1月进行为期1年的研究。在纳入研究之前,所有患者都获得了知情同意。结果经MDCT检查,6例(30%)患者以支气管源性癌为主,4例(20%)患者以肺栓塞和支气管扩张为主,2例(10%)患者因乳腺癌和睾丸癌出现转移,1例(5%)患者合并肺脓肿、肺动脉高压、肺结核和肺泡出血。结论MDCT是诊断咯血的首选影像学方式,在显示咯血延迟的原因和肺部异常的程度上都优于胸片。
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The role of multidetector computed tomography in the diagnosis and assessment of patients with hemoptesis
Objective This study aims to assess the role of multidetector computed tomography (MDCT) in the diagnosis and assessment of patients with hemoptesis. Patients and Methods This was a prospective study carried out on a total of 20 patients who presented with hemoptysis, all referred from the Chest Department and clinic to the Radiology Department in El-Zahra Hospital for 164 slice MDCT examination; the study was carried out for a period of 1 year from January 2020 to January 2021 after receiving approval from the ethical committee of the institute. Informed consent was obtained from all patients before inclusion in the study. Results The MDCT study showed that bronchogenic carcinoma was found to be the most common cause of hemoptysis in six (30%) patients, pulmonary embolism and bronchiectasis were found in four (20%) patients, in two (10%) patients, metastasis was present due to breast and testicular cancer, and one (5%) patient, lung abscess, pulmonary hypertension, tuberculosis, and alveolar hemorrhage were present. Conclusion MDCT proved to be the imaging modality of choice in the diagnosis of hemoptysis, being superior to chest radiography in demonstrating not only causes of delay but also the extent of lung abnormalities.
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