[在COVID-19后的时代间歇性肺部异常 (ILAs):呼吁提高放射科医生的意识]
1Département de Radiologie, Centre Hospitalier Universitaire Souss Massa, Faculté de Médecine et de Pharmacie d'Agadir, Université Ibn, Zohr, Maroc.
Revue des maladies respiratoires
|October 31, 2025
概括
间歇性肺异常 (ILAs) 在COVID-19后的流行率增加,特别是纤维化类型. 进一步监测对于早期检测和管理潜在进展到扩散间歇性肺病至关重要.
科学领域:
- 放射学 放射学是一门学科.
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
背景情况:
- 间歇性肺异常 (ILA) 是无症状个体的偶然发现.
- 有关COVID-19后肺损伤和ILA进展为肺纤维化存在担忧.
研究的目的:
- 为了评估COVID-19后的ILA患病率和特征.
- 探索ILAs和纤维化的进化之间的关联.
主要方法:
- 追溯分析343个胸部CT扫描 (2023年1月至2024年1月) 在40岁以上没有先前ILD的患者中.
- 根据弗莱什纳学会的标准,ILAs被分为非亚,亚非纤维化和亚纤维化亚型.
- 基本ILA病变的详细描述,包括地面玻璃的不透明性和网状性.
主要成果:
- 整体ILA患病率为18%,亚多肌纤维化和非纤维化ILA分别为8%.
- 观察到女性占主导地位 (平均年龄59岁).
- 患病率表明,与大流行前的研究相比,患病率有所增加 (约为1. 7%),可能与COVID后的肺部变化有关.
结论:
- 在COVID-19后,纤维化的ILAs的患病率增加,需要对肺重塑机制进行调查.
- 纵向监测对于评估进展和制定后续战略至关重要.
- 放射科医生在早期检测和风险分层方面发挥着关键作用;未来的研究应该探索SARS-CoV-2作为风险因素.
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