rentradВестник рентгенологии и радиологииJournal of radiology and nuclear medicine0042-46762619-0478Limited Liability Company "LUCHEVAYA DIAGNOSTIKA", Russian Association of Radiologists10.20862/0042-4676-2017-98-6-285-296rentrad-277Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL RESEARCHКОМПЬЮТЕРНАЯ ТОМОГРАФИЯ В ДИАГНОСТИКЕ ПОРОКОВ ЛЕГКИХ У НОВОРОЖДЕННЫХ И ДЕТЕЙ РАННЕГО ВОЗРАСТАCOMPUTED TOMOGRAPHY IN THE DIAGNOSIS OF LUNG DISEASES IN NEONATES AND INFANTShttps://orcid.org/0000-0003-2657-8778ИльинаН. А.Il’inaN. A.

Ильина   Наталья  Александровна - кандидат медицинских наук, доцент, врач-рентгенолог.

Ул.  Авангардная, 14, Санкт-Петербург, 198205; ул.  Кирочная, 41, Санкт-Петербург, 191015

MD, PhD, Associate Professor, Radiologist.

Ul. Avangardnaya, 14, St.  Petersburg, 198205; Ul. Kirochnaya, 41, St.  Petersburg, 191015

ilyina-natal@mail.ruhttps://orcid.org/0000-0003-3931-1431ТюринИ. Е.TyurinI. E.

Доктор медицинских наук, профессор,  заведующий кафедрой рентгенологии и радиологии.

Ул.  Баррикадная, 2/1, Москва, 125993

MD, PhD, DSc, Professor,  Chief of Chair of Radiology and Nuclear Medicine.

ГБУЗ «Детская городская больница № 1»; ФГБОУ ВО «Северо-Западный государственный медицинский университет им. И.И. Мечникова» Минздрава РоссииРоссияChildren’s City Hospital № 1; North-Western State Medical University named after I.I. Mechnikov, Ministry of Health of the Russian FederationRussian FederationФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава РоссииРоссияRussian Medical Academy of Continuous Professional Education, Ministry of Health of the Russian FederationRussian Federation201727122017986285296Copyright © Ильина Н.А., Тюрин И.Е., 20172017Ильина Н.А., Тюрин И.Е.Il’ina N.A., Tyurin I.E.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.russianradiology.ru/jour/article/view/277

Цель исследования – провести сопоставление клинико-лучевых и патоморфологических данных при кистозных изменениях в легких врожденного и приобретенного генеза для определения возможностей компьютерной томографии в выявлении и дифференциальной  диагностике пороков легких у новорожденных и детей раннего возраста.

Материал и методы

Материал и методы. В исследование включены 185 новорожденных  и детей  раннего возраста,  проходивших  лечение с гистологической верификацией варианта фокального порока развития легкого за 20-летний период. Описаны сроки и алгоритм постнатального лучевого обследования, метод  лечения, результаты динамического наблюдения с рентгенологическим и КТ-контролем у 83 больных в сроки от 6 мес до 16 лет.

Результаты

Результаты. Представлена  КТ-семиотика  различных вариантов врожденных и приобретенных кистозных мальформаций легких, проведено сопоставление с патоморфологическими признаками. Совпадение результатов пренатальной лучевой диагностики пороков  легких с  окончательным диагнозом  варианта порока отмечалось в 42,03% случаев,  у 50% больных пренатально установленный диагноз после проведения КТ был изменен,  а в 36,96% случаев это привело к коррекции тактики лечения.

Objective

Objective. To carry out clinical, radiological,  and pathological comparisons in congenital and acquired cystic lung changes to determine the capabilities of computed tomography (CT) in the detection and differential diagnosis of lung diseases in neonates  and infants.

Material and methods

Material and methods. The authors describe their own clinical cases of 185 neonates  and infants followed up and treated for variant focal lung malformation for 20 years, with their histological verification, the time and algorithm of a postnatal radiological examination, as well as a treatment  option,  and a follow-up  with X-ray and CT monitoring in 83 patients during 6 months to 16 years.

Results

Results. The CT semiotics of different variants of congenital and acquired cystic  lung malformations are presented  and compared with pathomorphological signs. The results of prenatal radiological diagnosis  of lung diseases agreed with the final diagnosis  of  the  type  of  disease  in 42.03%; 50% of  cases  showed changes  in the prenatal diagnosis  established after CT; and this affected the concept  of the patient and modified treatment policy in 36.96% of cases.

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The authors declare that there are no conflicts of interest present.