中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
26期
80-81,82
,共3页
X线%CT扫描%肺结核%转移性肺肿瘤%鉴别诊断
X線%CT掃描%肺結覈%轉移性肺腫瘤%鑒彆診斷
X선%CT소묘%폐결핵%전이성폐종류%감별진단
X-ray%CT scan%Tuberculosis%Metastatic lung tumors%Differential diagnosis
目的：探讨X线结合CT扫描在鉴别诊断各型肺结核与转移性肺肿瘤的应用价值。方法：选取2012年11月-2013年3月在本院进行救治的61例肺结核和26例转移性肺肿瘤患者作为研究对象，采用盲法对参与实验患者的X线片和CT进行回顾性分析，并根据其影像结果进行分析和诊断，统计分析X线、CT以及X线结合CT在诊断上的诊出率、可疑性诊断率及误诊率，并进行比较。结果：根据患者在X线或/和CT所表现出的病灶特征的不同，X线结合CT相比单纯的X线或CT对肺结核及转移性肺肿瘤的鉴别诊断更加确切，其诊出率分别可达77.14%和76.19%，差异具有统计学意义。结论：X线结合CT扫描能有效提高对各型肺结核与转移性肺肿瘤的鉴别诊断诊出率，降低误诊率。
目的：探討X線結閤CT掃描在鑒彆診斷各型肺結覈與轉移性肺腫瘤的應用價值。方法：選取2012年11月-2013年3月在本院進行救治的61例肺結覈和26例轉移性肺腫瘤患者作為研究對象，採用盲法對參與實驗患者的X線片和CT進行迴顧性分析，併根據其影像結果進行分析和診斷，統計分析X線、CT以及X線結閤CT在診斷上的診齣率、可疑性診斷率及誤診率，併進行比較。結果：根據患者在X線或/和CT所錶現齣的病竈特徵的不同，X線結閤CT相比單純的X線或CT對肺結覈及轉移性肺腫瘤的鑒彆診斷更加確切，其診齣率分彆可達77.14%和76.19%，差異具有統計學意義。結論：X線結閤CT掃描能有效提高對各型肺結覈與轉移性肺腫瘤的鑒彆診斷診齣率，降低誤診率。
목적：탐토X선결합CT소묘재감별진단각형폐결핵여전이성폐종류적응용개치。방법：선취2012년11월-2013년3월재본원진행구치적61례폐결핵화26례전이성폐종류환자작위연구대상，채용맹법대삼여실험환자적X선편화CT진행회고성분석，병근거기영상결과진행분석화진단，통계분석X선、CT이급X선결합CT재진단상적진출솔、가의성진단솔급오진솔，병진행비교。결과：근거환자재X선혹/화CT소표현출적병조특정적불동，X선결합CT상비단순적X선혹CT대폐결핵급전이성폐종류적감별진단경가학절，기진출솔분별가체77.14%화76.19%，차이구유통계학의의。결론：X선결합CT소묘능유효제고대각형폐결핵여전이성폐종류적감별진단진출솔，강저오진솔。
Objective:To analyze the application value of the differential diagnosis in various of tuberculosis and metastatic lung tumors by the method of X-ray combined with CT scan.Method:Choose 61 cases of pulmonary tubereculosis and 26 cases of metastatic lung cancer patients who were treated in our hospital between November 2012 to March 2013 as the research object,retrospectively analyzed the X ray film and CT scan of patients participating in clinical trials by the method of blind,and diagnosis according to the analysis result,statistical analysis the diagnosis rate,suspected diagnosis and the misdiagnosis rate of X-ray,CT scan and X-ray combined with CT scan in the diagnosis of various of tuberculosis and metastatic lung tumors,and the compared the result.Result:According to the X-ray or(and)CT scan,tuberculosis and metastatic lung tumorin patients performanced diffrent characteristics,and the diagnosis method of X-ray combined with CT in diagnosis of tuberculosis and metastatic lung tumors,the diagnostic rate could reach 77.14%and 76.19%respectively,was more exact than pure X-ray or CT scan,and the difference was statistically significant.Conclusion:X-ray combined with CT scan can effectively improve the diagnosed rate and reduce the misdiagnosis rate of the differential diagnosis of tuberculosis and metastatic lung tumors.
