CAJ | 학술논문

目的探讨螺旋CT扫描及薄层图像重建对周围型小肺癌(直径＜2 cm)的诊断价值.方法 15例体检发现孤立肺结节(直径＜2 cm)的患者行螺旋CT平扫加增强扫描,经计算机软件拆薄后并重组,观察肺部小结节及其肺部周围的CT表现.结果 13例患者通过螺旋CT做出诊断并及时手术,11例腺癌,2例鳞癌.2例患者随访后行CT扫描增强发现结节增大,手术后报告为肺腺癌.结论螺旋CT扫描及薄层重建对周围型小肺癌的诊断及鉴别诊断有较高的临床应用价值.
목적 탐토라선CT소묘급박층도상중건대주위형소폐암(직경＜2 cm)적진단개치.방법 15례체검발현고립폐결절(직경＜2 cm)적환자행라선CT평소가증강소묘,경계산궤연건탁박후병중조,관찰폐부소결절급기폐부주위적CT표현.결과 13례환자통과라선CT주출진단병급시수술,11례선암,2례린암.2례환자수방후행CT소묘증강발현결절증대,수술후보고위폐선암.결론 라선CT소묘급박층중건대주위형소폐암적진단급감별진단유교고적림상응용개치.
Objective To investigate the diagnostic value of spiral CT scans and thin slice reconstruction for small peripheral lung cancer.Methods 15 patients with solitary pulmonary nodules (＜2cm in diameter) found by physical examination received spiral CT scans and enhanced scans.The images were resolved into thin slices and reconstructed by the computer software; the small pulmonary nodules and their surroundings on CT scans were observed.Results 13 patients were diagnosed as lung cancer (adenocarcinoma in 11 patients and squamous carcinoma in 2 patients) and received timely surgical treatment.The nodules enlarged in two patients on enhanced CT scans during follow-up and were confirmed as lung adenocarcinoma after surgery.Conclusions Spiral CT scans and thin slice reconstruction has a higher clinical value in the diagnosis and differential diagnosis of small peripheral lung cancer.