CAJ | 학술논문

目的：分析肺内孤立性小结节的CT表现，探讨肺内孤立性小结节良恶性的鉴别诊断。方法：回顾性分析2010年1月-2013年1月经病理证实的50例肺内孤立性小结节患者的CT检查资料。结果：恶性病变32例，全部为周围型肺癌；良性病变18例，包括结核球7例、炎性结节8例、肺错构瘤3例。肺癌病灶的分叶征、毛刺征、胸膜凹陷征、小空洞征发生率高于其他种类(P<0.05)。结论：CT对肺孤立性小结节有较高的诊断价值，是区分良恶性孤立性肺结节的有效方法。
목적：분석폐내고립성소결절적CT표현，탐토폐내고립성소결절량악성적감별진단。방법：회고성분석2010년1월-2013년1월경병리증실적50례폐내고립성소결절환자적CT검사자료。결과：악성병변32례，전부위주위형폐암；량성병변18례，포괄결핵구7례、염성결절8례、폐착구류3례。폐암병조적분협정、모자정、흉막요함정、소공동정발생솔고우기타충류(P<0.05)。결론：CT대폐고립성소결절유교고적진단개치，시구분량악성고립성폐결절적유효방법。
Objective:To analyze manifestations of CT in solitary pulmonary nodules,to determine if solitary pulmonary nodules(SPN) were benignant or malignant.Method:Researchers retrospectively analyzed the data of 50 cases with solitary pulmonary nodules from Jan 2010 to Jan 2013.Those cases were confirmed by pathology.Result:Totally 32 patients with malignant SPN were lung cancer.There were 18 cases with benign SPN,including 7 cases with tuberculoma,8 cases with inflammatory pseudotumor of the lung,and 3 cases with hamartoma.Incidence rates of some signs in lung cancer,including lobulation signs,spiculation signs,pleural retraction signs,small cavity syndromes,were higher than others(P<0.05).Conclusion:CT has high value in the diagnosis of SPN.It is an effective method to determine if SPN was benignant or malignant.