CAJ | 학술논문

目的：探讨64排容积CT(VCT)对孤立性肺结节的诊断与鉴别诊断价值。方法：回顾性分析经手术病理或穿刺活检病理及临床治疗追踪确诊的肺孤立性结节病变46例。结果：分叶、毛糙(毛刺、棘状突起与锯齿征)、密度不均匀(空泡、支气管充气、磨玻璃密度等)、胸膜凹陷征、血管聚集等征象与恶性结节相关，而边缘光滑、密度均匀、钙化灶与卫星灶等则与良性结节显著相关。动态增强扫描前后病灶CT值增加的幅度对鉴别良恶性很有价值。结论：64排容积CT对孤立性肺结节具有重要的诊断与鉴别诊断价值。
목적：탐토64배용적CT(VCT)대고립성폐결절적진단여감별진단개치。방법：회고성분석경수술병리혹천자활검병리급림상치료추종학진적폐고립성결절병변46례。결과：분협、모조(모자、극상돌기여거치정)、밀도불균균(공포、지기관충기、마파리밀도등)、흉막요함정、혈관취집등정상여악성결절상관，이변연광활、밀도균균、개화조여위성조등칙여량성결절현저상관。동태증강소묘전후병조CT치증가적폭도대감별량악성흔유개치。결론：64배용적CT대고립성폐결절구유중요적진단여감별진단개치。
Objective:To investigate the 64 slice volume CT(VCT) for the diagnosis and differential diagnosis of solitary pulmonary nodules.Methods:We retrospective analyzed the operation pathology or biopsy pathology and clinical therapy to track confirmed pulmonary solitary nodules in 46 cases.Results:The leaves,Mao Cao(burr,spines,and aliasing syndrome),uneven density(void,air bronchus,ground glass density),pleural indentation,vascular aggregation features associated with malignant nodules,while the edges smooth,uniform density,calcification and satellite lesions were significantly related to benign nodules. Dynamic enhanced scanning lesions before and after the magnitude of the CT increase in differentiating benign and malignant is very valuable.Conclusion:It is valuable to diagnosis and differentiation of 64 slice CT in solitary pulmonary nodules.