中国基层医药
中國基層醫藥
중국기층의약
Chinese Journal of Primary Medicine and Pharmacy
2015年
19期
2925-2927
,共3页
体层摄影术,螺旋计算机%肺肿瘤%诊断,鉴别
體層攝影術,螺鏇計算機%肺腫瘤%診斷,鑒彆
체층섭영술,라선계산궤%폐종류%진단,감별
Tomography,spiral computed%Lung tumor%Diagnosis,differentiate
目的：评价螺旋CT三维重建在肺部占位性病变诊断及鉴别诊断中的价值。方法选择有病理诊断的肺部占位性病变患者100例，按数字表法随机分为对照组50例和观察组50例，对照组采用 CT 常规扫描，观察组采用 CT 三维重建后处理技术检查，对两组肺部占位性病变、肺门淋巴结转移与纵隔淋巴结转移的灵敏度、特异性及准确率进行对比分析。结果对照组肺部占位性病变诊断的灵敏度为75％、特异性50％、准确率72％，观察组肺部占位性病变诊断的灵敏度为80％、特异性65％、准确率85％，两组差异均有统计学意义（χ2＝3．854、4．604、5．007，均 P ＜0．05）。对照组诊断肺门淋巴结转移的灵敏度为60％、特异性72％、准确率70％，观察组诊断肺门淋巴结转移的灵敏度为76％、特异性84％、准确率84％，两组差异均有统计学意义（χ2＝5．882、4．196、5．534，均 P ＜0．05）。对照组诊断纵隔淋巴结转移的灵敏度为62％、特异性57％、准确率60％，观察组诊断纵隔淋巴结转移的灵敏度为72％、特异性73％、准确率72％，两组差异均有统计学意义（χ2＝4．342、5．626、4．583，均 P ＜0．05）。结论螺旋 CT 三维重建对肺部占位性病变的诊断定位效果好，可在肺部占位性病变的诊断中广泛运用。
目的：評價螺鏇CT三維重建在肺部佔位性病變診斷及鑒彆診斷中的價值。方法選擇有病理診斷的肺部佔位性病變患者100例，按數字錶法隨機分為對照組50例和觀察組50例，對照組採用 CT 常規掃描，觀察組採用 CT 三維重建後處理技術檢查，對兩組肺部佔位性病變、肺門淋巴結轉移與縱隔淋巴結轉移的靈敏度、特異性及準確率進行對比分析。結果對照組肺部佔位性病變診斷的靈敏度為75％、特異性50％、準確率72％，觀察組肺部佔位性病變診斷的靈敏度為80％、特異性65％、準確率85％，兩組差異均有統計學意義（χ2＝3．854、4．604、5．007，均 P ＜0．05）。對照組診斷肺門淋巴結轉移的靈敏度為60％、特異性72％、準確率70％，觀察組診斷肺門淋巴結轉移的靈敏度為76％、特異性84％、準確率84％，兩組差異均有統計學意義（χ2＝5．882、4．196、5．534，均 P ＜0．05）。對照組診斷縱隔淋巴結轉移的靈敏度為62％、特異性57％、準確率60％，觀察組診斷縱隔淋巴結轉移的靈敏度為72％、特異性73％、準確率72％，兩組差異均有統計學意義（χ2＝4．342、5．626、4．583，均 P ＜0．05）。結論螺鏇 CT 三維重建對肺部佔位性病變的診斷定位效果好，可在肺部佔位性病變的診斷中廣汎運用。
목적：평개라선CT삼유중건재폐부점위성병변진단급감별진단중적개치。방법선택유병리진단적폐부점위성병변환자100례，안수자표법수궤분위대조조50례화관찰조50례，대조조채용 CT 상규소묘，관찰조채용 CT 삼유중건후처리기술검사，대량조폐부점위성병변、폐문림파결전이여종격림파결전이적령민도、특이성급준학솔진행대비분석。결과대조조폐부점위성병변진단적령민도위75％、특이성50％、준학솔72％，관찰조폐부점위성병변진단적령민도위80％、특이성65％、준학솔85％，량조차이균유통계학의의（χ2＝3．854、4．604、5．007，균 P ＜0．05）。대조조진단폐문림파결전이적령민도위60％、특이성72％、준학솔70％，관찰조진단폐문림파결전이적령민도위76％、특이성84％、준학솔84％，량조차이균유통계학의의（χ2＝5．882、4．196、5．534，균 P ＜0．05）。대조조진단종격림파결전이적령민도위62％、특이성57％、준학솔60％，관찰조진단종격림파결전이적령민도위72％、특이성73％、준학솔72％，량조차이균유통계학의의（χ2＝4．342、5．626、4．583，균 P ＜0．05）。결론라선 CT 삼유중건대폐부점위성병변적진단정위효과호，가재폐부점위성병변적진단중엄범운용。
Objective To evaluate the value of spiral CT in diagnosis and treatment of lung lesions in clini-cal work.Methods A retrospective analysis of 100 patients with pathological diagnosis of lung lesions patients were randomly divided into the control group (CT normal scan)and observation group (CT -D post -processing tech-niques).Lungs lesions,hilar and mediastinal lymph node metastasis sensitivity,specificity and accuracy of lymph node metastasis of both group were analyzed.Results In the control group,the diagnosis of lung lesions showed sensitivity of 75%,specificity of 50% and accuracy of 72%;while in the observation group the sensitivity was 80%,specificity was 65 % and accuracy rate was 85%.The differences between the two groups were statistically signficant(χ2 =3.854,4.604,5.007,all P <0.05).50 cases of pathologically verified as lung cancer patients with hilar lymph node metastasis in the control group showed diagnostic sensitivity of 60%,specificity of 72%,accuracy of 70%;while diag-nosed hilar lymph node metastasis in the observation group showed sensitivity of 76%,specificity of 84 percent and accuracy rate of 84%.The differences between the two groups were statistically signficant(χ2 =5.882,4.196,5.534, all P <0.05).50 cases of pathologically verified as lung cancer patients with mediastinal lymph node metastasis in the control group,showed diagnostic sensitivity of 62%,specificity of 57% and accuracy of 60%;in observation group the sensitivity was 72%,specificity was73% and accuracy was 72%.The differences between the two groups were statisti-cally signficant(χ2 =4.342,5.626,4.583,all P <0.05).Conclusion The spiral CT for diagnosis of lung lesions positioning has good effect,and can be widely used in the diagnosis of lung lesions.
