摘要
目的了解四川省江油市矽肺流行病学和影像学特征及其与矽肺分期的关联性。方法选择2016年2月-2019年1月在江油市中医医院接受治疗的241例矽肺患者进行回顾性分析。收集患者流行病学相关资料、X线平片及CT检查结果。对比不同矽肺分期患者流行病学及影像学资料,并进行相关性分析。结果 241例有效病历年龄为29~84岁,平均(61.27±8.30)岁;男性235例,女性6例;接尘工龄3~29年,平均(14.79±3.86)年;有色金属矿采选82例,建筑业53例,土砂石开采47例,煤炭开采44例,其他15例。矽肺分期:矽肺Ⅰ期18例,Ⅱ期84例,Ⅲ139例。不同性别、年龄、接尘工龄及行业的矽肺患者分期比较,差异均有统计学意义(均P<0.05)。矽肺患者不同小阴影分布肺区、团块发生情况、小结节钙化、胸膜改变、肺间质改变、淋巴系统钙化及并发症方面地点,矽肺分期差异均有统计学意义(均P<0.05)。小结节钙化、肺间质改变及淋巴系统钙化与矽肺分期相关性比较,差异无统计学意义(P>0.05),性别、年龄、接尘工龄、行业、小阴影分布肺区、团块、胸膜改变与并发症均与矽肺分期呈显著正相关(均P<0.05)。结论四川省江油市矽肺以男性为主,不同行业矽肺严重程度明显不同,患者性别、年龄、接尘工龄、行业、小阴影分布肺区、团块、胸膜改变与并发症均与矽肺分期显著相关。
Objective To understand the epidemiological and imaging features of silicosis in Jiangyou City of Sichuan Province and their association with silicosis staging. Methods A retrospective analysis of 241 patients with silicosis who were treated in Jiangyou City Chinese Medicine Hospital from February 2016 to January 2019 was performed. The epidemiological data,X-ray film and CT findings of the patients were collected.The epidemiological and imaging data of patients at different silicosis stage were compared and analyzed for correlation. Results Among 241 effective medical records,the age ranged from 29 to 84 years old,with an average of(61.27±8.30) years old. There were 235 males and 6 females. Dust exposure lasted for 3 to 29 years,with an average of(14.79±3.86) years old. There were 82 cases in non-ferrous metal mining,47 cases in sand mining,44 cases of coal mining,and 15 cases in other industries. For the silicosis staging: 18 cases were in stageⅠ,84 cases were in stageⅡ,and 139 cases were in stage Ⅲ. There were statistically significant differences in silicosis staging among different groups in gender,age,length of dust exposure and industry(P<0.05). There were statistically significant differences in silicosis staging among different groups in small shadow distribution of lung area,mass formation,small nodule calcification,pleural changes,pulmonary interstitial changes,lymphatic system calcification and complications(all P<0.05). There was no significant correlation between small nodule calcification,pulmonary interstitial changes,lymphatic calcification and silicosis staging(P>0.05). Gender,age,length of dust exposure,industry,small shadow distribution of lung area,agglomeration,pleural changes and complications were significantly positively correlated with silicosis staging(all P<0.05). Conclusion The patients with silicosis in Jiangyou City of Sichuan Province are mainly male.The severity of silicosis is abviously different in different industries. The gender, age, length of dust exposure, industry, small shadow distribution of lung area,agglomeration,pleural changes and complications are significantly positively correlated with silicosis staging.
作者
庞勇
潘力平
唐煌
何崇保
杨小东
熊福阅
PANG Yong;PAN Li-ping;TANG Huang;HE Chong-bao;YANG Xiao-dong;XIONG Fu-yue(Department of Radiology,Jiangyou City Hospital of Traditional Chinese Medicine,Jiangyou Sichuan,621700,China)
出处
《职业与健康》
CAS
2020年第2期161-164,共4页
Occupation and Health
关键词
矽肺
流行病学
影像学
矽肺分期
Silicosis
Epidemiology
Imaging
Silicosis staging
作者简介
庞勇,男,副主任医师,主要从事影像诊断工作。
