胸部计算机断层扫描结果和肺功能测试结果在COVID-19的康复后阶段之间的相关性
Gustavo Borges da Silva Teles1, Eduardo Kaiser Uruhary Nunes Fonseca1, Julia Capobianco2
1Hospital Israelita Albert Einstein , São Paulo , SP , Brazil .
Einstein (Sao Paulo, Brazil)
|December 21, 2023
概括
低碳一氧化碳扩散能力的COVID-19幸存者表现出长期肺部疾病的风险增加. 异常的肺功能测试与胸部CT扫描中的纤维变化相关,这表明潜在的肺膜损伤.
科学领域:
- 肺部病理学 肺部病理学
- 放射学 放射学是一门学科.
- 传染性疾病 传染性疾病
背景情况:
- 在COVID-19幸存者的长期肺部后果尚未完全理解.
- 在COVID-19后的放射性和功能性肺部变化需要进一步调查.
研究的目的:
- 将COVID-19幸存者的胸部CT检测结果与正常与异常的肺功能测试进行比较.
- 评估肺功能异常与COVID-19后肺病的放射性证据之间的关联.
主要方法:
- 对101名COVID-19幸存者的肺功能测试和胸部CT扫描进行了回顾性分析.
- 对纤维状变化的放射性评估和肺部异常的量化.
- 在正常和异常肺功能测试的患者之间,CT检测结果的比较.
主要成果:
- 10.9%的幸存者在CT上表现出纤维状变化; 19.8%的氧化碳扩散能力降低.
- 减少一氧化碳的扩散能力与肺部不透明度和CT上的纤维变化相关.
- 碳一氧化物的扩散能力降低显示了72.7%的灵敏度和87.8%的特异性来检测纤维变化.
结论:
- 在COVID-19后,一氧化碳的异常扩散能力表明长期患上体肺部疾病的风险更高.
- 纤维状变化,包括引支气管和结构扭曲,与肺功能受损有关.
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