临床肺科杂志
臨床肺科雜誌
림상폐과잡지
JOUNAL OF CLINICAL PULMONARY MEDICINE
2014年
6期
997-998,999
,共3页
肺部孤立性结节%性质%影响因素
肺部孤立性結節%性質%影響因素
폐부고립성결절%성질%영향인소
solitary pulmonary nodule%imaging characters%influencing factors
目的：了解肺部孤立性结节的性质及影像学特点。方法分析242例肺部孤立性结节的性质、影像学特点及两者的关系。结果242例肺部孤立性结节的疾病谱常见依次为肺癌、肺结核、炎性假瘤。当结节直径为<1 cm、1-3 cm、3-5 cm、5-7 cm、≥7 cm时其恶性比分别为9．1%、42．8%、76．9%、91．2%、95．9%。纯磨玻璃样结节、半实质样结节、纯实质样结节，恶性比分别为80．3%、75．4%、62．9%。分叶征、毛刺征、空泡征等多见于恶性病变。结论我科收治的肺部孤立性结节中肺癌最多见，其次为肺结核、炎性假瘤。当结节直径≥5 cm其恶性概率达92．3%，纯磨玻璃样和半实质样结节较纯实质样结节恶性概率高。分叶征、毛刺征、空泡征等多见于恶性病变。
目的：瞭解肺部孤立性結節的性質及影像學特點。方法分析242例肺部孤立性結節的性質、影像學特點及兩者的關繫。結果242例肺部孤立性結節的疾病譜常見依次為肺癌、肺結覈、炎性假瘤。噹結節直徑為<1 cm、1-3 cm、3-5 cm、5-7 cm、≥7 cm時其噁性比分彆為9．1%、42．8%、76．9%、91．2%、95．9%。純磨玻璃樣結節、半實質樣結節、純實質樣結節，噁性比分彆為80．3%、75．4%、62．9%。分葉徵、毛刺徵、空泡徵等多見于噁性病變。結論我科收治的肺部孤立性結節中肺癌最多見，其次為肺結覈、炎性假瘤。噹結節直徑≥5 cm其噁性概率達92．3%，純磨玻璃樣和半實質樣結節較純實質樣結節噁性概率高。分葉徵、毛刺徵、空泡徵等多見于噁性病變。
목적：료해폐부고립성결절적성질급영상학특점。방법분석242례폐부고립성결절적성질、영상학특점급량자적관계。결과242례폐부고립성결절적질병보상견의차위폐암、폐결핵、염성가류。당결절직경위<1 cm、1-3 cm、3-5 cm、5-7 cm、≥7 cm시기악성비분별위9．1%、42．8%、76．9%、91．2%、95．9%。순마파리양결절、반실질양결절、순실질양결절，악성비분별위80．3%、75．4%、62．9%。분협정、모자정、공포정등다견우악성병변。결론아과수치적폐부고립성결절중폐암최다견，기차위폐결핵、염성가류。당결절직경≥5 cm기악성개솔체92．3%，순마파리양화반실질양결절교순실질양결절악성개솔고。분협정、모자정、공포정등다견우악성병변。
Objective To analyze the imaging characters and properties of solitary pulmonary nodule. Methods The imaging characters and properties of 242 solitary pulmonary nodule and their relationships were ana-lyzed. Results The most common diseases were lung cancer, followed by tuberculosis and inflammatory pseudotu-mor. When nodule diameter was less than 1 cm, its malignant proportion was 9. 1%. When the diameter was among 1-3 cm, the malignant proportion 42. 8%, 3-5 cm to 76. 9%, 5-7 cm to 91. 2%. When the diameter was bigger than 7 cm, the malignant proportion was 95. 9%. Pure glass sample and essence mixed sample (also known as a real sam-ple) nodules had higher possibility of malignance than pure substance sample nodules did. Lobulation, apiculation, and vocule were commonly found in malignant lesions. Conclusion The malignancy of lung space-occupying lesions increases with the increase of nodal diameter. Pure glass sample and essence mixed sample nodules have higher possi-bility of malignance than pure substance sample nodules do. Calcification, pure substance sample and lobulation have significant effect on benign and malignance of lung lesions. Lobulation, apiculation and vocule sign are commonly found in malignant lesions.
