中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
24期
174-175
,共2页
多排螺旋CT%浸润性肺腺癌%浸润前病变
多排螺鏇CT%浸潤性肺腺癌%浸潤前病變
다배라선CT%침윤성폐선암%침윤전병변
Multi slice spiral CT%Invasive lung cancer%Preinvasive lesions
目的：分析多排螺旋CT对浸润性肺腺癌与浸润前病变的CT鉴别诊断。方法整群收集该院2011年5月-2014年3月期间诊治的135例浸润性肺腺癌和浸润前病变患者作为研究对象，所有患者均经手术病理证实，且所有患者在开展手术之前均实施多排螺旋CT扫描。结果病灶形态包：有76个表现为不规则形，另外59个表现为圆形类圆形；本组患者的病灶边缘情况为：有89个为分叶，另外46个为毛刺；患者的病灶内部结构：有38个为空泡征，有35个为支气管征；邻近结构：有49个为血管集束，65个为胸膜凹陷，另外21个为血管增粗。浸润性腺癌与浸润前病变在CT征象以及病灶直径方面通过χ2检验差异有统计学意义（P<0.05）。同时，浸润前病变和浸润性肺腺癌的实性部分比较差异有统计学意义（P<0.05），浸润前病变在纯磨玻璃结节中大约占据了66.78%，混合性密度磨玻璃结节在浸润性腺癌中的比例为91.67%，病灶直径最小为浸润前，最大为浸润性腺癌，并呈现递增的势态发展。结论多排螺旋CT能够比较准确的诊断和鉴别诊断浸润性肺腺癌与浸润前病变。
目的：分析多排螺鏇CT對浸潤性肺腺癌與浸潤前病變的CT鑒彆診斷。方法整群收集該院2011年5月-2014年3月期間診治的135例浸潤性肺腺癌和浸潤前病變患者作為研究對象，所有患者均經手術病理證實，且所有患者在開展手術之前均實施多排螺鏇CT掃描。結果病竈形態包：有76箇錶現為不規則形，另外59箇錶現為圓形類圓形；本組患者的病竈邊緣情況為：有89箇為分葉，另外46箇為毛刺；患者的病竈內部結構：有38箇為空泡徵，有35箇為支氣管徵；鄰近結構：有49箇為血管集束，65箇為胸膜凹陷，另外21箇為血管增粗。浸潤性腺癌與浸潤前病變在CT徵象以及病竈直徑方麵通過χ2檢驗差異有統計學意義（P<0.05）。同時，浸潤前病變和浸潤性肺腺癌的實性部分比較差異有統計學意義（P<0.05），浸潤前病變在純磨玻璃結節中大約佔據瞭66.78%，混閤性密度磨玻璃結節在浸潤性腺癌中的比例為91.67%，病竈直徑最小為浸潤前，最大為浸潤性腺癌，併呈現遞增的勢態髮展。結論多排螺鏇CT能夠比較準確的診斷和鑒彆診斷浸潤性肺腺癌與浸潤前病變。
목적：분석다배라선CT대침윤성폐선암여침윤전병변적CT감별진단。방법정군수집해원2011년5월-2014년3월기간진치적135례침윤성폐선암화침윤전병변환자작위연구대상，소유환자균경수술병리증실，차소유환자재개전수술지전균실시다배라선CT소묘。결과병조형태포：유76개표현위불규칙형，령외59개표현위원형류원형；본조환자적병조변연정황위：유89개위분협，령외46개위모자；환자적병조내부결구：유38개위공포정，유35개위지기관정；린근결구：유49개위혈관집속，65개위흉막요함，령외21개위혈관증조。침윤성선암여침윤전병변재CT정상이급병조직경방면통과χ2검험차이유통계학의의（P<0.05）。동시，침윤전병변화침윤성폐선암적실성부분비교차이유통계학의의（P<0.05），침윤전병변재순마파리결절중대약점거료66.78%，혼합성밀도마파리결절재침윤성선암중적비례위91.67%，병조직경최소위침윤전，최대위침윤성선암，병정현체증적세태발전。결론다배라선CT능구비교준학적진단화감별진단침윤성폐선암여침윤전병변。
Objective To analyze the value of multi-slice spiral CT in differential diagnosis of invasive lung cancer and preinva-sive lesions. Methods Selected 135 patients with invasive lung cancer or preinvasive lesions in our hospital from 2011 May to March 2014 as research objects, and all the patients were confirmed by operation and pathology. All the patients accepted multi row spiral CT scanning before operation. Results About the lesions form, there were 76 characterized by irregular, while 59 perfor-mance for round;For patients of this group, when refer to edge of lesions, there are 89 for leaf, and 46 for burr;The internal struc-ture of lesions:38 were cavitation and 35 were bronchus; Adjacent structure: 49 for vascular cluster, have 65 for pleural indenta-tion, while 21 for vascular enlargement. By chi-square, there were statistical differences between preinvasive lesions and invasive lung cancer on CT signs and lesions diameter (P<0.05).There were statistical differences between the solid part of preinvasive le-sions and invasive lung cancer (P<0.05). Preinvasive lesions in pure ground glass nodules accounted for approximately 66.78%, mixed density of ground glass nodules in invasive adenocarcinoma in the proportion of more than ninety percent. The smallest di-ameter of preinvasive lesions, the largest for invasive adenocarcinoma, and presents the developments of increasing. Conclusion Multi slice spiral CT can accurately diagnose and differentially diagnose invasive lung cancer and preinvasive lesions.
