中国医学装备
中國醫學裝備
중국의학장비
CHINA MEDICAL EQUIPMENT
2014年
7期
47-49
,共3页
磨玻璃影%结节%良性%恶性
磨玻璃影%結節%良性%噁性
마파리영%결절%량성%악성
Ground-glass opacity%Nodules%Benign%Malignant
目的：讨论多层螺旋CT在肺部磨玻璃影良恶性鉴别诊断中的应用价值。方法：选取行螺旋CT胸部检查的31例患者资料，对肺部磨玻璃影像进行鉴别诊断，以病理结果作为诊断标准，将其分为恶性组(18例)和良性组(13例)，分析其影像学特点。结果：两组在胸膜凹陷征、毛刺征、分叶征及边界清楚征象比较差异显著，具有统计学意义(x2=7.300，x2=6.183，x2=5.373， x2=8.791；P＜0.05)。恶性病变以胸膜凹陷征、毛刺征及分叶征等表现为主，边界清楚；两组在圆或椭圆型、不规则形及多结节融合状比较差异显著，具有统计学意义(x2=11.138，x2=6.482， x2=4.306，P<0.05)。良性病变表现为圆或椭圆型，恶性病变以不规则形和多结节融合状表现为主。结论：通过多层螺旋CT在胸部检查中的应用，对磨玻璃影的特殊征象及形态学进行综合分析和良恶性鉴别，具有极高的应用价值。
目的：討論多層螺鏇CT在肺部磨玻璃影良噁性鑒彆診斷中的應用價值。方法：選取行螺鏇CT胸部檢查的31例患者資料，對肺部磨玻璃影像進行鑒彆診斷，以病理結果作為診斷標準，將其分為噁性組(18例)和良性組(13例)，分析其影像學特點。結果：兩組在胸膜凹陷徵、毛刺徵、分葉徵及邊界清楚徵象比較差異顯著，具有統計學意義(x2=7.300，x2=6.183，x2=5.373， x2=8.791；P＜0.05)。噁性病變以胸膜凹陷徵、毛刺徵及分葉徵等錶現為主，邊界清楚；兩組在圓或橢圓型、不規則形及多結節融閤狀比較差異顯著，具有統計學意義(x2=11.138，x2=6.482， x2=4.306，P<0.05)。良性病變錶現為圓或橢圓型，噁性病變以不規則形和多結節融閤狀錶現為主。結論：通過多層螺鏇CT在胸部檢查中的應用，對磨玻璃影的特殊徵象及形態學進行綜閤分析和良噁性鑒彆，具有極高的應用價值。
목적：토론다층라선CT재폐부마파리영량악성감별진단중적응용개치。방법：선취행라선CT흉부검사적31례환자자료，대폐부마파리영상진행감별진단，이병리결과작위진단표준，장기분위악성조(18례)화량성조(13례)，분석기영상학특점。결과：량조재흉막요함정、모자정、분협정급변계청초정상비교차이현저，구유통계학의의(x2=7.300，x2=6.183，x2=5.373， x2=8.791；P＜0.05)。악성병변이흉막요함정、모자정급분협정등표현위주，변계청초；량조재원혹타원형、불규칙형급다결절융합상비교차이현저，구유통계학의의(x2=11.138，x2=6.482， x2=4.306，P<0.05)。량성병변표현위원혹타원형，악성병변이불규칙형화다결절융합상표현위주。결론：통과다층라선CT재흉부검사중적응용，대마파리영적특수정상급형태학진행종합분석화량악성감별，구유겁고적응용개치。
Objective: To discuss the value in the differential diagnosis of benign and malignant in ulmonary ground-glass opacities with multislice spiral CT. Methods: Selected 31 patients in Beijing North hospital with spiral CT examination of the chest as the research object, the lungs differential diagnosis of ground-glass image analysis to pathological findings as diagnostic criteria, analysis Imaging features of benign and malignant grinding glass shadow. Results: Malignant lesions with pleural indentation, spiculation, lobulation, such as performance-based, clear boundary between the two groups in the pleural indentation, spiculation, points Ye Zheng, clear boundary comparing with statistical significance(x2=11.138, x2=6.482, x2=4.306, P<0.05). Meanwhile benign lesions showed a round or oval, and malignant lesions with irregular shape and multi-nodular-like performance-based fusion of the two groups in a round or oval, irregular and more fusion-like nodules difference was significant, the statistical significance (x2=11.138, x2=6.482, x2=4.306, P<0.05). Conclusion:Application of multislice spiral CT examination of the chest can be on the ground glass by special signs and morphological comprehensive analysis, benign and malignant, with a high value.
