CAJ | 학술논문

目的：对影像学孤立性肺结节肺癌患病率和相关因素进行分析，为早期肺癌患者制定诊疗策略提供思路。方法对经手术、穿刺活检和痰检等病理已经确诊的117例孤立性肺结节病例的CT 片进行回顾性分析。采用非条件Logistic回归进行相关因素分析。结果肺癌者共计91例，占77.8％，患者年龄、男性、吸烟史、恶性肿瘤病史、毛刺征、分叶征、胸膜凹陷征、血管集束征、空气支气管征、空泡征、多结节征、棘突征与肺癌相关（P＜0.05）。结论孤立性肺结节肺癌患病相关因素对良恶性结节的鉴别有意义，应针对影像相关因素，制定进一步的诊疗对策。
목적：대영상학고립성폐결절폐암환병솔화상관인소진행분석，위조기폐암환자제정진료책략제공사로。방법대경수술、천자활검화담검등병리이경학진적117례고립성폐결절병례적CT 편진행회고성분석。채용비조건Logistic회귀진행상관인소분석。결과폐암자공계91례，점77.8％，환자년령、남성、흡연사、악성종류병사、모자정、분협정、흉막요함정、혈관집속정、공기지기관정、공포정、다결절정、극돌정여폐암상관（P＜0.05）。결론고립성폐결절폐암환병상관인소대량악성결절적감별유의의，응침대영상상관인소，제정진일보적진료대책。
Objective To study the prevalence of lung cancer in patients with solitary pulmonary nodule and to analyze the related factors of lung cancer .Methods One hundred and seventeen patients with solitary pulmona-ry nodules have been diagnosed by surgery ,biopsy and sputum pathology .CT scans of the patients were analyzed retrospectively .Related data was analyzed by using Logistic regression analysis .Results The number of lung cancer in these patients was 91 (77.8% ) .The relevant factors of lung cancer were age ,male ,smoking history , history of malignancy ,spiculation ,lobulation ,pleural indentation ,vascular convergence sign ,air bronchogram , vacuole sign ,nodular intrinsic and spinous sign .Conclusion Solitary pulmonary nodule is benign or malignant . Relevant factors of images is related to lung cancer .