局灶性机化性肺炎和周围型肺癌的MSCT鉴别

发布时间：2018-01-30 07:27

本文关键词： 螺旋CT 周围型肺癌局灶性机化性肺炎影像学征象　出处：《临床放射学杂志》2017年10期 　论文类型：期刊论文

【摘要】：目的探讨局灶性机化性肺炎(FOP)和周围型肺癌(PLC)不同的MSCT表现特征。方法搜集2015年1月至2017年1月经病理证实为FOP和PLC各38例患者的临床与MSCT资料。分析和比较FOP和PLC间弓形凹陷征、棘状突起征、深分叶、浅分叶、血管支气管束异常改变、空洞、反晕征、晕征、支气管充气征、长毛刺、短毛刺征、邻近胸膜增厚、液化坏死、钙化及淋巴结肿大,以及增强CT增加值等16项指标的差异。结果在棘状突起征、弓形凹陷征、支气管充气征、深分叶征、长毛刺征、短毛刺征、邻近胸膜增厚、钙化、液化坏死及淋巴结肿大和增强CT增加平均值(FOP组多于PLC组)11项指标上,两组间的差异具有统计学意义(P0.05)。在浅分叶、血管支气管束异常改变、空洞、反晕征、晕征5项指标上,差异无统计学意义(P0.05)。结论 FOP和PLC的MSCT表现有差异,仔细观察各种征象,有助于对两病做出鉴别诊断。
[Abstract]:Objective to investigate the focal organized pneumonia (FOP) and peripheral lung cancer (PLC). Methods the clinical and MSCT data of 38 patients with pathologically proved FOP and PLC from January 2015 to 2017 were collected and compared with those of FOP and MSCT. Arcuate indentation between PLC. Spinous protrusions, deep lobes, superficial lobes, abnormal changes of vascular bronchus bundles, cavity, counterhalo sign, halo sign, bronchial inflation sign, long burr, short burr sign, pleural thickening and liquefaction necrosis. Results among the 16 indexes, calcification, lymphadenopathy, and enhanced CT value were compared. Results the results were as follows: spinous protruding sign, arcuate depression sign, bronchoinflatable sign, deep lobulation sign, long burr sign and short burr sign. The mean value of pleural thickening, calcification, liquefaction necrosis and lymphadenopathy and enhanced CT enhancement in the adjacent pleura was higher in the FOP group than in the PLC group. The difference between the two groups was statistically significant (P 0.05). There were 5 indexes of superficial lobulation, abnormal change of vascular bronchus bundle, cavity, reverse halo sign and halo sign. Conclusion there are differences in MSCT between FOP and PLC. Careful observation of various signs is helpful to the differential diagnosis of the two diseases.
【作者单位】：湖北省鄂州市中心医院医学影像科;湖北省黄石市爱康医院医学影像科;
【分类号】：R563.1;R730.44;R734.2
【正文快照】： 作者单位:436000湖北省鄂州市中心医院医学影像科(戴细华、焦次来、王楚铭);435100湖北省黄石市爱康医院医学影像科(刘伯胜);*并列第一作者;**通讯作者局灶性机化性肺炎(focal organizing pneumonia,FOP)是机化性肺炎的一种亚型,影像学上常表现为孤立性结节或肿块,约占机化性

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