Computed tomography in assessment of pulmonary features of cystic fibrosis in children
Abstract
The aim of our study was to assess the efficacy of high resolution computed tomography (HRCT) in detection of pulmonary signs of cystic fibrosis. We examined 55 CF children using CT.
The most frequent pulmonary findings were bronchiectasis — in 47patients (85 % ), bronchial wall thickening in 42 patients (76 % ), mosaic perfusion in 39 patients (71 % ), centrilobular nodules in 24 patients (38 % ), mucous plugging in 23 patients (42 % ). Less frequent findings were atelectasis in 15 (27 % ), lymphatic nodules enlargement in 12 (22 % ), bullae in 4 (7 % ), pneumothorax in 2 (3.6 % ) patients.
To evaluate reversibility of these disorders 9 patients were reassessed after the treatment, 13 patients were investigated repeatedly in 2 years. Serial CT scans allowed assessment of the evolution of pulmonary abnormalities.
The CT was found to be more accurate method than the routine chest X-ray examination when assessing spread, severity and dynamics of pulmonary lesions in cystic fibrosis patients.
About the Authors
T. S. Pridvizhkina
Санкт-Петербургская медицинская академия последипломного образования
Russian Federation
Russian Federation
I. A. Kondratiev
Санкт-Петербургская медицинская академия последипломного образования
Russian Federation
Russian Federation
A. V. Orlov
Санкт-Петербургская медицинская академия последипломного образования
Russian Federation
Russian Federation
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Review
For citations:
Pridvizhkina T.S., Kondratiev I.A., Orlov A.V. Computed tomography in assessment of pulmonary features of cystic fibrosis in children. PULMONOLOGIYA. 2004;(2):13-17. (In Russ.)
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