Lung ultrasound in bronchiolitis: comparison with chest X-ray
Lung ultrasound in bronchiolitis: comparison with chest X-ray
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DOI：
10.1007/s00431-011-1461-2
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发表时间：
2011-11-01
影响因子：
3.6
通讯作者：
Picano, Eugenio
中科院分区：
文献类型：
--
作者：
Caiulo, Vito Antonio;Gargani, Luna;Picano, Eugenio
毛细支气管炎的诊断主要根据患者的病史和体格检查。然而，在严重的情况下，可能需要进一步评估，包括胸部 X 光检查 (CXR)。目前，肺部超声（LUS）不包括在细支气管炎的诊断检查中。本研究旨在比较 LUS 和 CXR 对毛细支气管炎儿童的诊断准确性，并评估临床和超声检查结果之间的相关性。只有被诊断为细支气管炎且接受过 CXR 检查的患者才被纳入该研究。 52 名婴儿接受了 LUS 和 CXR。还对 52 名没有细支气管炎临床症状的婴儿进行了 LUS。 47/52 例患者的细支气管炎诊断结果为 LUS 阳性，而 38/52 例患者的 CXR 诊断呈阳性。所有 LUS 检查正常的患者 CXR 正常，而 9 名 CXR 正常的患者 LUS 异常。这些患者的临床病程与细支气管炎一致。我们发现 LUS 是一种简单可靠的毛细支气管炎诊断和随访工具。它比 CXR 更可靠，可以在患者床边轻松重复，并且没有辐射风险。在一些细支气管炎患者中，LUS 能够识别 CXR 未发现的肺部异常。此外，临床和超声检查结果之间存在良好的相关性。鉴于获得美国报告所需的时间很短，该技术可能成为细支气管炎患者的常规成像方式。
The diagnosis of bronchiolitis is based mainly on the patient's medical history and physical examination. However, in severe cases, a further evaluation including chest X-ray (CXR) may be necessary. At present, lung ultrasound (LUS) is not included in the diagnostic work-up of bronchiolitis. This study aimed to compare the diagnostic accuracy of LUS and CXR in children with bronchiolitis, and to evaluate the correlation between clinical and ultrasound findings. Only patients with a diagnosis of bronchiolitis, who had undergone a CXR, were enrolled in the study. Fifty-two infants underwent LUS and CXR. LUS was also performed in 52 infants without clinical signs of bronchiolitis. LUS was positive for the diagnosis of bronchiolitis in 47/52 patients, whereas CXR was positive in 38/52. All patients with normal LUS examination had a normal CXR, whereas nine patients with normal CXR had abnormal LUS. In these patients, the clinical course was consistent with bronchiolitis. We found that LUS is a simple and reliable tool for the diagnosis and follow-up of bronchiolitis. It is more reliable than CXR, can be easily repeated at the patient's bedside, and carries no risk of irradiation. In some patients with bronchiolitis, LUS is able to identify lung abnormalities not revealed by CXR. Furthermore, there is a good correlation between clinical and ultrasound findings. Given the short time needed to get a US report, this technique could become the routine imaging modality for patients with bronchiolitis.