在六个月内,COVID-19肺炎对胸部计算机断层扫描和螺旋计的影响
Mahdi Yadollahzadeh1,2, Manizhe Ataee Kachuee3, Neda Rahimian1,4
1Department of Internal Medicine, School of Medicine, Firoozgar General Hospital, Iran University of Medical Sciences, Tehran, Iran.
Medical journal of the Islamic Republic of Iran
|October 15, 2025
概括
在SARS-CoV-2感染后,持续的呼吸道问题和肺部损伤是常见的. 在COVID-19后的异常螺旋计表明长期肺部疾病的风险更高,包括纤维变化.
科学领域:
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
- 放射学 放射学是一门学科.
背景情况:
- 持续性呼吸系统功能障碍影响了大约三分之一的SARS-CoV-2患者在出院一年后.
- 严重的COVID-19在康复期间和康复后可能导致限制性或阻塞性螺旋测量缺陷.
- 肺纤维化被假设是COVID-19幸存者的呼吸系统症状的原因.
研究的目的:
- 为了评估COVID-19患者出院后3个月和6个月的螺旋测量和胸部CT发现.
- 调查COVID-19患者出院后呼吸功能的改善.
- 探索肺部成像,肺功能和长期结果之间的关联.
主要方法:
- 一项对260名伊朗COVID-19 PCR阳性肺炎患者的队列研究.
- 住院时和出院6个月后进行胸部CT扫描;出院3个月和6个月后进行螺旋计.
- 统计分析包括千平方,t测试,皮尔森系数和多变量回归.
主要成果:
- 最初的CT异常 (地板玻璃不透明,整合) 在排放后6个月显著改善.
- 在出院3个月后的30.8%和出院6个月后的23.9%观察到异常螺旋计.
- 在磨砂玻璃不透明度得分和螺旋计参数之间发现了负相关性.
结论:
- 异常后COVID-19螺旋测量与长期肺部疾病的风险增加有关.
- 在CT扫描中的纤维变化与异常的螺旋计有关.
- 吸烟状况,高血压和慢性病可能会影响COVID-19后的长期肺部健康.
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