CAJ | 학술논문

目的：探讨多层螺旋 CT（MSCT）在 SCLC 诊断中的价值。方法：搜集经病理证实的50例 SCLC 患者的资料，详细分析其 CT 表现。结果：48例表现为局部结节或肿块，38例出现分叶状，6例出现钙化，6例出现胸膜凹陷征，14例出现磨玻璃影，34例出现阻塞性肺炎，30例出现阻塞性肺不张，28例出现胸腔积液，38例出现肺门淋巴结肿大，44例出现纵隔淋巴结肿大，20例出现“冰冻纵隔”，17例伴远处转移。结论：SCLC 在 CT 表现上具有一定的特征性，最终确诊需结合临床病理。
목적：탐토다층라선 CT（MSCT）재 SCLC 진단중적개치。방법：수집경병리증실적50례 SCLC 환자적자료，상세분석기 CT 표현。결과：48례표현위국부결절혹종괴，38례출현분협상，6례출현개화，6례출현흉막요함정，14례출현마파리영，34례출현조새성폐염，30례출현조새성폐불장，28례출현흉강적액，38례출현폐문림파결종대，44례출현종격림파결종대，20례출현“빙동종격”，17례반원처전이。결론：SCLC 재 CT 표현상구유일정적특정성，최종학진수결합림상병리。
Objective:To study the value of MSCT in the diagnosis of small cell lung cancer (SCLC).Methods:The imaging of 50 cases of pathology proved SCLC were recruited and their CT features were analyzed in detail.Results:Of the 50 patients,there were focal mass or nodule (48 cases),which were lobular (38 cases)and 6 cases with calcification,6 cases with pleural indentation,14 cases with ground-glass opacity.34 cases were accompanied with obstructive pneumonia and 30 cases with atelectasis.28 cases had pleural effusion.38 cases accompanied with hilar lymph adenopathy,44 cases with medi-astinal lymph adenopathy,20 cases with frozen-mediastinum.17 cases had distant metastasis.Conclusion:Certain CT charac-teristics could be assessed in SCLC,yet the final diagnosis still depends on pathology.