临床肺科杂志
臨床肺科雜誌
림상폐과잡지
JOUNAL OF CLINICAL PULMONARY MEDICINE
2015年
3期
416-418,419
,共4页
周围型肺癌%CT%MRI%诊断
週圍型肺癌%CT%MRI%診斷
주위형폐암%CT%MRI%진단
peripheral lung cancer%CT%MRI%diagnosis
目的：探讨CT与MRI在周围型肺癌诊断中的应用价值。方法随机选取2008年12月份-2014年8月份我院诊治的98例周围型肺癌患者作为研究对象,对比分析所有患者的CT与MRI检查的图像特点以及检出情况。结果对于肿瘤直径>5 cm的患者,MRI与CT关于其内部特点以及周围特征的显示情况相近,无显著性差异(P>0．05)；对于肿瘤直径3-5 cm以及<3 cm的患者,CT显示其内部结构以及周围特征的情况显著优于MRI检查,差异具有显著性(P<0．05)；MRI检出纵隔肺门淋巴结、血管断面,侵犯情况、积液以及胸膜凹陷征的情况显著优于CT检查；CT检出钙化情况显著优于MRI；P均<0．05。 CT与MRI检查周围型肺癌的检出率,误诊率方面差异无显著性(P>0．05)。结论 CT是临床诊断周围型肺癌的重要方法, MRI能够对周围型肺癌的诊断提供更多、更重要的信息,是CT检查的补充手段。
目的：探討CT與MRI在週圍型肺癌診斷中的應用價值。方法隨機選取2008年12月份-2014年8月份我院診治的98例週圍型肺癌患者作為研究對象,對比分析所有患者的CT與MRI檢查的圖像特點以及檢齣情況。結果對于腫瘤直徑>5 cm的患者,MRI與CT關于其內部特點以及週圍特徵的顯示情況相近,無顯著性差異(P>0．05)；對于腫瘤直徑3-5 cm以及<3 cm的患者,CT顯示其內部結構以及週圍特徵的情況顯著優于MRI檢查,差異具有顯著性(P<0．05)；MRI檢齣縱隔肺門淋巴結、血管斷麵,侵犯情況、積液以及胸膜凹陷徵的情況顯著優于CT檢查；CT檢齣鈣化情況顯著優于MRI；P均<0．05。 CT與MRI檢查週圍型肺癌的檢齣率,誤診率方麵差異無顯著性(P>0．05)。結論 CT是臨床診斷週圍型肺癌的重要方法, MRI能夠對週圍型肺癌的診斷提供更多、更重要的信息,是CT檢查的補充手段。
목적：탐토CT여MRI재주위형폐암진단중적응용개치。방법수궤선취2008년12월빈-2014년8월빈아원진치적98례주위형폐암환자작위연구대상,대비분석소유환자적CT여MRI검사적도상특점이급검출정황。결과대우종류직경>5 cm적환자,MRI여CT관우기내부특점이급주위특정적현시정황상근,무현저성차이(P>0．05)；대우종류직경3-5 cm이급<3 cm적환자,CT현시기내부결구이급주위특정적정황현저우우MRI검사,차이구유현저성(P<0．05)；MRI검출종격폐문림파결、혈관단면,침범정황、적액이급흉막요함정적정황현저우우CT검사；CT검출개화정황현저우우MRI；P균<0．05。 CT여MRI검사주위형폐암적검출솔,오진솔방면차이무현저성(P>0．05)。결론 CT시림상진단주위형폐암적중요방법, MRI능구대주위형폐암적진단제공경다、경중요적신식,시CT검사적보충수단。
Objective To discuss the application value of CT and MRI in the diagnosis of peripheral lung cancer. Methods From December, 2008 to August, 2014, 98 patients with peripheral lung cancer in our hospital were selected as the objects. All patients’ image characteristics of CT and MRI were comparatively analyzed. Results For the patients whose tumor diameter was bigger than 5cm, the characteristics of CT and MRI were similar in the surrounding features and its internal characters (P>0. 05). For the patients whose tumor diameter was 3-5cm and smaller than 3cm, the surrounding features and internal structure of CT was significantly superior to MRI examination (P<0. 05). MRI was significantly superior to CT examination in detecting mediastinal hilar lymph nodes, vascular section, violation, effusions and pleural indentation (P<0. 05). CT was clearly better than MRI in detecting calcifi-cation (P<0. 05). There was no significant difference in peripheral lung cancer detection rate and the misdiagnosis rate between CT and MRI (P>0. 05). Conclusion CT is an important method for the diagnosis of peripheral lung cancer. MRI can provide more important information in the diagnosis of peripheral lung cancer, which is a kind of supplementary means of CT examination.
