期刊文献+

老年无症状吸烟者肺部HRCT分析 被引量:6

Smoking-induced Lung Lesions in Asymptomatic Elderly Subjects: Evaluated by HRCT
在线阅读 下载PDF
导出
摘要 目的探讨老年无症状吸烟者的肺部高分辨CT(HRCT)表现并与非吸烟老年肺进行对比,以便提高吸烟对肺部损害的认识。方法对38例老年无症状吸烟者及63例非吸烟正常老年人的肺部HRCT表现进行配对分析。结果老年无症状吸烟者异常肺部HRCT表现明显高于非吸烟正常老年人(χ2=26.255,P<0.001),主要异常改变有:局限性或弥漫性肺气肿(18/38)、肺实质微结节(21/38)、空气潴留(11/38)、支气管壁增厚扩张(13/38)、小叶间隔增厚(8/38)及磨玻璃影(6/38)。结论吸烟对人体的损害是显而易见的,虽然没有临床症状,但吸烟对人体的潜在危害是不容忽视的,HRCT是早期显示X线及常规CT无法显示的肺损害的有效方法。 Objective To assess the HRCT findings of smoking-induced lung lesions in asymptomafic elderly subjects and compare with those in no-smoking elderly control subjects, so as to increase our knowledge of smoking-related lung damages. Methods Thirty-eight cases of asymptomatic smokers and 63 cases of no-smoking elderly volunteers were performed HRCT examination and their imagings were analyzed independently with at least 2 doctors. Results The rat of lung lesions of HRCT in asymptomatic elderly subjects was significantly higher than that in no-smoking elderly subjects (X^2= 26.255, P〈0.001). The lung lesions include: limiting or extensive emphysema (18/38), parenchymal micronodules (21/38), air trapping (11/38), bronchial wall thickening and / or brochiectasis (13/38), interlobular septal thickening (8/38) and ground- glass attenuation (6/38). Conclusion Cigarette smoking has several pathological effects on the lung, even though asymptomatic, the potential impairments should not be neglected. HRCT is considerably more sensitive than X-ray film and routine CT in the detection of early-stage smoking-related damage.
出处 《中国现代医药杂志》 2007年第3期5-7,共3页 Modern Medicine Journal of China
基金 广东省深圳市宝安区科技局科研基金资助项目(项目编号:2005061)
关键词 吸烟 老年人 高分辨CT Smoking Elderly Lung High Resolution CT
  • 相关文献

参考文献8

  • 1[1]Stavngaard T,Shaker SB,Bach KS,et al.Quantitative assessment of regional emphysema distribution in patients with chronic obstructive pulmonary disease (COPD)[J].Acta Radiol,2006,47(9):914-21
  • 2[2]Gevenois PA,De Vuyst P,de Maertaer V,et al.Comparison of computed density and microscopic morphometry in pulmonary emphysema[J].J Respir Crit Care Med,1996,154(1):187-92
  • 3杨功焕.1996年全国吸烟行为的流行病学调查[J].中国肿瘤,1998,7(2):3-5. 被引量:83
  • 4陈静,朱美英,钱浩骏,傅东波,丁永明,高艾平,郑频频,杨顺英,王琛芳,陈平,傅华.上海市某区一级医院门诊病人吸烟现况调查与分析[J].中国全科医学,2004,7(7):490-492. 被引量:6
  • 5张进保,杨爱玲,侯生录,殷义才.536名住院病人吸烟状况及相关因素分析[J].解放军预防医学杂志,1998,16(2):135-136. 被引量:2
  • 6[6]Kubo K,Eda S,Yamamoto H,et al.Expiratory and inspiratory chest computed tomography and pulmonary function tests in cigarette smokers[J].Eur Respir J,1999,13(2):252-256
  • 7[8]Remy-Jardin M,Remy J,Gosseline B,et al.Lung parenchymal changes secondary to cigarette smoking:pathologic-CT correlations[J].Radiology,1993,186(3):643-651
  • 8[9]Remy-Jardin M,Edme JL,Boulenguez C,et al.Longitudinal follow-up study of smoker's lung with thin-section CT in correlation with pulmonary function tests[J].Radiology.2002,222(1):261-270

二级参考文献5

共引文献83

同被引文献90

引证文献6

二级引证文献19

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部