中央型小细胞肺癌与鳞癌的多层螺旋CT比较研究

发布时间：2018-04-14 17:01

本文选题：中央型小细胞肺癌 + 鳞癌　；参考：《数理医药学杂志》2017年06期

【摘要】：目的:探讨中央型小细胞肺癌与鳞癌的多层螺旋CT比较。方法:选取某院经病理证实的中央型小细胞肺癌患者43例作为对照组,同时收集同期经病理证实的中央型肺鳞癌患者44例作为观察组,观察两组患者的CT表现。结果:两组患者CT征象中胸膜腔积液、远处转移、心脏大血管受侵、纵隔肺门淋巴结肿大、淋巴结融合、支气管狭窄无阻塞、肺叶实变、肿瘤不均匀强化、肿瘤坏死、支气管闭塞出现率存在显著性差异(P0.05);经Logistic回归分析,淋巴结融合、远处转移、支气管狭窄无阻塞与中央型小细胞肺癌呈正相关,肿瘤不均匀强化与中央型鳞癌呈现正相关。结论:中央型小细胞肺癌与鳞癌的多层螺旋CT比较存在一定差异,对两者鉴别有应用价值。
[Abstract]:Objective: to compare the multi-slice spiral CT between central small cell lung cancer and squamous cell carcinoma.Methods: 43 patients with central small cell lung cancer confirmed by pathology were selected as control group and 44 patients with central lung squamous cell carcinoma confirmed by pathology were collected as observation group. The CT findings of the two groups were observed.Results: in both groups, pleural effusion, distant metastasis, invasion of major cardiac vessels, mediastinal hilar lymph node enlargement, lymph node fusion, bronchial stenosis without obstruction, lobar consolidation, uneven enhancement of tumor, necrosis of tumor were found in the CT signs of both groups.By Logistic regression analysis, lymph node fusion, distant metastasis, bronchial stenosis and non-obstruction were positively correlated with central small cell lung cancer, and uneven enhancement was positively correlated with central squamous cell carcinoma.Conclusion: there is some difference between central small cell lung cancer and squamous cell carcinoma by multislice spiral CT, which is valuable in differentiating them.
【作者单位】：重庆市垫江县人民医院;
【基金】：垫江县科技专项资金(编号:2015-36)
【分类号】：R730.44;R734.2

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