非结核性菌根性肺病呈现为支气管炎模式在CT上没有空洞或支气管切除症
Sung Hyun Yoon1, Hyung-Jun Kim2,3, Jihang Kim1
1Department of Radiology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
BMC pulmonary medicine
|September 2, 2024
概括
患有非结核性菌根性肺病 (NTM-PD) 的患者的放射性变化经常呈现进展. 支气管切开症是CT扫描中NTM-PD患者患有支气管炎模式的最常见发现.
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:
- 非结核菌性肺病 (NTM-PD) 可以呈现出各种放射性模式.
- 计算机断层扫描 (CT) 上的支气管炎模式需要进一步调查NTM-PD的疾病进展.
研究的目的:
- 调查NTM-PD患者在CT上表现出支气管炎模式的放射性变化.
- 为了比较NTM-PD和没有NTM-PD的患者的初始和最终CT发现.
主要方法:
- 在2005年至2021年期间,对96名疑似NTM-PD的患者进行了回顾性审查.
- 在NTM-PD和非NTM-PD组之间比较初始和后续CT发现 (支气管炎,细胞支气管炎,腔,结节,巩固).
- 根据美国胸腔学会/美国传染病学会的标准来诊断NTM-PD.
主要成果:
- 在96名患者中,43名患者被诊断出NTM-PD.
- 结节和巩固最初在NTM-PD患者中更为频繁.
- 最后的CT扫描显示NTM-PD患者的支气管切除,腔,结节和巩固增加.
- 30/43名NTM-PD患者在1510.5天的中位随访期内表现出放射性进展,主要是支气管切除.
结论:
- 在NTM-PD患者中,支气管炎模式与显著的放射性进展有关.
- 支气管切除症的发生率随着时间的推移在NTM-PD患者中随着支气管炎模式而增加.
- CT成像对于监测NTM-PD的疾病演变至关重要.
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