中国临床医学影像杂志2025，Vol.36Issue(9)：625-629,5.DOI:10.12117/jccmi.2025.09.005
胸部X线片联合纤维支气管镜检查对肺炎支原体肺炎患儿感染的预测价值
The predictive value of chest X-ray combined with fiberoptic bronchoscopy in children with mycoplasma pneumoniae pneumonia infection
摘要
Abstract
Objective:To analyze the predictive value of chest X-ray combined with fiberoptic bronchoscopy for mycoplasma pneumoniae infection pneumonia.Methods:From January 2023 to December 2023,208 children with suspected mycoplasma pneumoniae infection were admitted to our hospital,and were divided into 158 cases in the infected group and 50 cases in the uninfected group according to the"gold standard"of pathogenetic examination.We compared the clinical data of the two groups and analyzed the predictive value of the line graph prediction model of mycoplasma pneumoniae infection using ROC curve.Results:Peak expiratory flow(PEF),forced expiratory volume in the first second(FEV1),and forced vital capacity(FVC)levels were lower in the infected group compared to the uninfected group(P＜0.05).Compared with the uninfected group,the infected group had a higher percentage of pleural thickening,lung cavitation,pleural effusion,large lamellar solid shadow,mucosal erosion,necrotic mucosal detachment,nodular protrusion,longitudinal folds,and congestion and edema(P＜0.05).Multifactorial Logistics regression analysis showed that pleural thickening,lung cavitation,pleural effusion,large lamellar solid shadow,mucosal erosion,necrotic mucosal detachment,nodular protrusion,longitudinal folds,and congestion and edema were the influencing factors on the occurrence of mycoplasma pneumoniae infection pneumonia(P＜0.05).The ROC curve analysis showed that compared with the areas under the curve of 0.774 and 0.792 of the chest X-ray film and fiberoptic bronchoscopy alone,the area under the curve of 0.813 of the column-line diagram prediction model was higher for predicting mycoplasma pneumoniae infection pneumonia(P＜0.05).Conclusion:The value of chest X-ray combined with bronchofiberscopy in predicting pneumonia with mycoplasma pneumoniae infection is higher.关键词
肺炎,支原体/儿童/放射摄影术/支气管镜检查Key words
Pneumonia,Mycoplasma/Child/Radiography/Bronchoscopy分类
医药卫生引用本文复制引用
凌云志,倪永成,吴薇,江凯华..胸部X线片联合纤维支气管镜检查对肺炎支原体肺炎患儿感染的预测价值[J].中国临床医学影像杂志,2025,36(9):625-629,5.基金项目
教育部重点实验室(东南大学)开放基金课题(CDLS-2022-01). （东南大学）
