在牛皮患者中揭示肺外细胞变化:放射学视角
Müfide Arzu Özkarafakılı1, Mustafa İlteriş Bardakçı1, Onur Sivaz2
1Department of Chest Diseases, Şişli Hamidiye Etfal Training and Research Hospital, 34381 İstanbul, Turkey.
牛皮患者经常有肺部变化,即使没有症状. 目前患有牛皮的吸烟者面临这些肺部发现的更高风险,这凸显了查的必要性.
科学领域:
- 肺部病理学 肺部病理学
- 皮肤病学 皮肤病学
- 放射学 放射学是一门学科.
背景情况:
- 牛皮和肺部疾病之间的联系尚未完全理解.
- 牛皮患者可能会在没有明显症状的情况下发展出肺部问题.
研究的目的:
- 通过使用胸部CT扫描,在无症状牛皮患者中识别肺膜变化.
- 探索与牛皮肺部参与相关的因素.
主要方法:
- 评估了270名牛皮患者的高分辨率计算机断层扫描 (HRCT).
- 分析了肺功能测试,实验室数据,SF-36问卷和吸烟状况.
- 评估了牛皮持续时间,治疗方法和肺部发现之间的相关性.
主要成果:
- 在HRCT扫描中,在43%的患者中发现了肺病变.
- 网膜变化,结节和肺是常见的发现.
- 目前的吸烟,年龄和心理健康显著预测了HRCT的结果;牛皮的严重程度 (PASI) 和治疗方法没有.
结论:
- 与非吸烟者相比,目前患有牛皮的吸烟者肺部成像发现率几乎是非吸烟者的两倍.
- 肺功能测试和CT扫描建议在牛皮患者有风险因素,如年龄和吸烟史.
- 牛皮患者可能患有亚临床肺部疾病,需要主动查.
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