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1、1026中国医学影像技术2007年第23卷第7期ChinJMedImagingTechnol,2007,Vol23,No7胸部影像学CTfeaturesofmycoplasmapneumoniaepneumoniainadultpatients1*21111ZHANGXiao-ye,ZHANGWei,ZHUMin,LISheng-qi,GUXiu,ZHAOLi(1.DepartmentofRespiratoryMedicine,2.DepartmentofRadiology,ShengjingHospitalofChinaMedica
2、lUniversity,Shenyang110004,China)[Abstract]ObjectiveToanalyzetheCTimagingcharacteristicsofMycoplasmapneumoniaepneumoniain35adultpatientsinordertoguidethepreliminaryclinicaldiagnosisofMycoplasmapneumoniaepneumonia.MethodsThechestCTscansob-tainedfrom35adultpatientswithser
3、ologicallyprovenMycoplasmapneumoniaepneumoniawereretrospectivelyreviewed.CTscanswereanalyzedindependentlybytwoobservers.Results①Therewere9cases(25.7%)ofmaleand26cases2(74.3%)offemaleamongthe35patientsandthemorbidityrateoffemalewassignificantlyhigherthanthatofmale(=8.26;P
4、<0.005).②Inthe25patientswithunilateralabnormalities,therewere19caseswithabnormalitiesinleftlung,andonly6caseswithabnormalitiesinrightlung。Theabnormalitiesinleftlungweremorefrequentthanthoseinrightlung2(=6.76;P<0.01).Inallcases,theabnormalitiesinleftlowerlobes(23/35,65.7%)
5、weremorefrequentwhencom-paredwiththeotherlobes(2=15.709;P<0.01).③Areasofground-glassattenuationonCTwereidentifiedin97.1%ofthepatientsandtheirCTimagingcharacteristicsincludedground-glassattenuationbecomingthelargeshadowofair-spaceconsolidationgradually(71.4%),orscatteredmu
6、ltiplepatchyareasofair-spaceconsolidation(74.3%)intheground-glassattenuation,ortheabovetwopatternspresentinthesamecases(48.6%),orscatteredmultiplesmallnodularshadowsintheground-glassattenuation(68.6%).Pleuraleffusionsandenlargedmediastinallymphnodeswereseenin40.0%and28.6%o
7、fthepatientsrespectively.ConclusionThemorbidityrateofMycoplasmapneumoniaepneumoniainfemalewassignif-icantlyhigherthanthatinmaleandtheabnormalitiesintheleftlungmorefrequentthanthoseintherightlung.Thecharac-teristicsofitschestCTimagecanprovidesomehintsforthediagnosisofMycop
8、lasmapneumoniaepneumonia.[Keywords]Mycoplasmapneumoniaepneumonia;Tomography,X-raycompute
