64排螺旋CT多期增强扫描联合血管成像对肺内肿块的诊断价值

发布时间：2018-03-26 03:12

本文选题：排螺旋CT多期增强扫描　切入点：血管成像　出处：《江西医药》2015年10期

【摘要】：目的探讨64排螺旋CT多期增强扫描联合血管成像对肺内肿块的诊断价值。方法选择从2012年3月至2014年2月于我院行64排螺旋CT多期增强扫描联合血管成像的250例肺内肿块患者作为研究病例,根据患者病情的严重程度及种类,可以分为中央型肺癌组、周围型肺癌组、良性病变组三组。而良性病变组按照疾病种类,可以分为血管瘤组、结核球组、错构瘤组、炎性假瘤组四组。观察血管成像对肺内肿块血供显示及CT多期增强扫描后肺内肿块CT增强值情况。结果中央型肺癌组与周围型肺癌组的供血动脉显示率基本相符,两组比较,差异无统计学意义(P0.05);中央型肺癌组与周围型肺癌组的供血动脉显示率均显著高于良性病变组,差异均具有统计学意义(P0.05);中央型肺癌组与周围型肺癌组各期CT增强值基本相符,两组比较,差异无统计学意义(P0.05);中央型肺癌组与周围型肺癌组的CT增强峰值均显著高于结核球组、错构瘤组、炎性假瘤组,差异均具有统计学意义(P0.05),但与血管瘤组的CT增强峰值均基本相符,差异均无统计学意义(P0.05)。结论 64排螺旋CT多期增强扫描联合血管成像对肺内肿块的良恶性具有较高的诊断价值,适合临床长期推广应用。
[Abstract]:Objective to evaluate the diagnostic value of 64 slice spiral CT multiphase enhanced scan combined with angiography in the diagnosis of pulmonary masses. Methods 250 cases of 64 slice spiral CT multiphase enhanced scan combined with angiography were performed in our hospital from March 2012 to February 2014. Patients with lung masses as study cases, According to the severity and type of the patient's condition, they can be divided into three groups: central lung cancer group, peripheral lung cancer group, and benign lesion group. According to the type of disease, the benign lesion group can be divided into hemangioma group, tuberculous ball group, hamartoma group, The four groups of inflammatory pseudotumor group were observed to observe the display of blood supply of pulmonary mass by angiography and CT enhancement value of pulmonary mass after multi-phase CT enhanced scan. Results the display rate of supplying artery in central type lung cancer group and peripheral type lung cancer group was basically the same, the two groups were compared. There was no significant difference between central lung cancer group and peripheral lung cancer group (P 0.05), the display rate of blood supply artery in central lung cancer group and peripheral lung cancer group was significantly higher than that in benign lesion group, the difference was statistically significant (P 0.05), the CT enhancement value of central type lung cancer group and peripheral lung cancer group was basically consistent with that of peripheral lung cancer group. The peak value of CT enhancement in central lung cancer group and peripheral lung cancer group was significantly higher than that in tuberculoma group, hamartoma group and inflammatory pseudotumor group. The difference was statistically significant (P 0.05), but it was consistent with the peak value of CT enhancement in hemangioma group. Conclusion 64-slice spiral CT multiphase enhanced CT combined with angiography has a high diagnostic value for benign and malignant lung masses, and is suitable for clinical application for a long time.
【作者单位】：江西省上饶市人民医院CT-MRI室;
【分类号】：R734.2;R730.44

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