胸部CT平扫、灌注成像对中央型肺癌诊断及分型的价值

发布时间：2019-02-21 13:11

【摘要】：目的:分析探讨对中央型肺癌病患使用胸部CT平扫及灌注成像在其诊断和分型上的临床应用价值。方法:将2016年1月—2017年12月收治的86例中央型肺癌病患作为研究对象,为其进行胸部CT扫描及灌注成像,分析比较扫描及成像检查结果与病理检查诊断及分型的情况。结果:病患胸部CT平扫结果显示,病患肺门区有结块状或块状软组织密度病变,边缘不规则,为毛刺或分叶状;CT平扫联合灌注成像结果显示鳞癌51例,腺癌28例,诊断准确率为91.86%(79/86),与病理检查结果无显著差异(P 0.05);灌注成像中,鳞癌的强化峰值为22.1±6.3,和腺癌的28.6±7.1相比差异显著(P0.05)。结论:对中央型肺癌病患使用胸部CT平扫及灌注成像可有效观察病变情况,且可有效进行分型,准确率较高,对中央型肺癌的早期诊断及分型有参考价值,有临床推广使用意义。
[Abstract]:Objective: to evaluate the clinical value of chest CT plain scan and perfusion imaging in the diagnosis and classification of central lung cancer. Methods: 86 patients with central lung cancer admitted from January 2016 to December 2017 were studied for chest CT and perfusion imaging. The results of scanning and imaging were compared with pathological diagnosis and classification. Results: the results of chest CT showed that the lesions of soft tissue density in the hilar area of the lung were lumpy or massive, with irregular edges and spurs or lobes. CT plain scan combined with perfusion imaging showed 51 cases of squamous cell carcinoma and 28 cases of adenocarcinoma. The diagnostic accuracy was 91.86% (79 / 86). In perfusion imaging, the enhancement peak of squamous cell carcinoma was 22.1 卤6.3, significantly higher than that of adenocarcinoma 28.6 卤7.1 (P0.05). Conclusion: chest CT plain scan and perfusion imaging can be used to observe the pathological changes in patients with central lung cancer, and the accuracy of classification is high. It has reference value for early diagnosis and classification of central lung cancer. It has the significance of clinical application.
【作者单位】：合川区人民医院
【分类号】：R734.2;R730.44

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