武警医学2026，Vol.37Issue(7)：563-568,574,7.DOI:10.3969/j.issn.1004-3594.2026.07.003
肺炎支原体肺炎患儿胸部X线片及CT双模态影像学分型与其临床特征及预后的关系
Relationship between the dual-modal imaging classification of chest X-ray and CT in chil-dren with mycoplasma pneumoniae and their clinical features and prognosis
摘要
Abstract
Objective To investigate the relationship between the dual-modal imaging classification of chest X-ray and CT in children with mycoplasma pneumoniae(MPP)and their clinical features and prognosis.Methods A retrospective analysis was per-formed on 143 children with MPP who were admitted to Characteristics Medical Center of Chinese People's Armed Police Force from January 1,2023 to December 31,2024.According to X-ray findings,the children were divided into bronchopneumonia type and con-solidation/atelectasis type.Based on CT findings,they were classified into bronchopneumonia type,consolidation/atelectasis type,and bronchiolitis type.Clinical features,inflammatory indicators,and prognosis(including refractory MPP,necrotizing pneumonia,obli-terative bronchiolitis,etc.)were compared among children with different imaging classifications.Results Among the 143 children,X-ray classification revealed 84 cases of bronchopneumonia type and 59 cases of consolidation/atelectasis type.CT classification identi-fied 104 cases of consolidation/atelectasis type,22 cases of bronchopneumonia type,and 17 cases of bronchiolitis type.In the X-ray imaging classification,compared with the bronchopneumonia type,children with consolidation/atelectasis type were older,had signifi-cantly higher levels of C-reactive protein,neutrophil-to-lymphocyte ratio,lactate dehydrogenase,and D-dimer(all P<0.05),as well as higher incidence of refractory MPP,necrotizing pneumonia,and ICU admission,and longer hospital stay.Children with CT-defined bronchiolitis type had the highest prevalence of allergic disease history(29.41%)and rales(88.24%)among the three groups(all P<0.05),and this type was identified as a potential high-risk factor for obliterative bronchiolitis.Conclusions X-ray and CT imaging classifications of MPP are closely related to clinical features and prognosis.X-ray can serve as an initial screening tool to preliminarily predict disease severity,while CT can more accurately identify subtle lesions such as bronchiolitis,providing a more reliable basis for early intervention and early warning of long-term complications.关键词
肺炎支原体/儿童/胸部影像/分类/临床结局Key words
mycoplasma pneumoniae/children/chest ima-ging/classification/clinical outcome分类
医药卫生引用本文复制引用
王潇健,贾兆刚,王剑,卢明明,歹丽红,张晶晶..肺炎支原体肺炎患儿胸部X线片及CT双模态影像学分型与其临床特征及预后的关系[J].武警医学,2026,37(7):563-568,574,7.基金项目
天津市卫生健康科技项目(TYWJ2021MS043) （TYWJ2021MS043）
