CT诊断非小细胞肺癌TNM分期的临床价值

发布时间：2018-05-27 02:41

本文选题：CT + 癌　；参考：《重庆医学》2017年31期

【摘要】：目的比较非小细胞肺癌(NSCLC)TNM分期术前CT诊断与术后病理诊断的一致性,探讨CT诊断NSCLC的临床价值。方法收集2012年1月至2016年6月在该院行术前胸部CT检查,术后病理确诊为NSCLC患者110例。根据国际抗癌联盟肺癌最新TNM分期标准分别对术前胸部CT和术后病理检查结果进行TNM分期。比较Kappa检验NSCLC术前CT诊断与术后病理诊断TNM分期的一致性。结果NSCLC术前CT诊断与术后病理诊断TNM分期一致性符合度相当满意(Kappa=0.85,P0.05),总体符合率为82.61%;且T或N分期一致性符合度亦相当满意(Kappa=0.796、0.847,P0.05),其总体符合率分别为88.18%、90.91%。另外,NSCLC早期行CT检查与术后病理诊断的符合率明显高于晚期(P0.05)。结论 NSCLC患者术前CT诊断与术后病理诊断TNM分期符合率较高。因此,术前胸部CT检查结果可作为NSCLC患者TNM分期重要的诊断依据,尤其是早期NSCLC。
[Abstract]:Objective to compare the CT diagnosis before and after NSCLC staging in non-small cell lung cancer (NSCLC) and to explore the clinical value of CT in the diagnosis of NSCLC. Methods from January 2012 to June 2016, 110 patients with NSCLC were examined by preoperative chest CT. According to the latest TNM staging standard of lung cancer of the International Union against Cancer, the preoperative chest CT and postoperative pathological examination were performed with TNM staging. To compare the consistency between preoperative CT diagnosis and postoperative pathological diagnosis of TNM staging by Kappa. Results the coincidence degree of TNM staging between preoperative CT diagnosis and postoperative pathological diagnosis of NSCLC was quite satisfactory. The overall coincidence rate was 82.61, and the coincidence degree of T or N staging was quite satisfactory. The overall coincidence rate was 88.1890.91. In addition, the coincidence rate between early CT examination and postoperative pathological diagnosis in NSCLC was significantly higher than that in late stage (P 0.05). Conclusion the coincidence rate of preoperative CT diagnosis and postoperative pathological diagnosis of TNM staging in NSCLC patients is higher. Therefore, preoperative chest CT findings can be used as an important diagnostic basis for TNM staging in patients with NSCLC, especially in the early stage of NSCLC.
【作者单位】：重庆市九龙坡区人民医院放射科;
【分类号】：R730.44;R734.2

【相似文献】