癌症进展2024,Vol.22Issue(14) :1567-1569,1592.DOI:10.11877/j.issn.1672-1535.2024.22.14.14

多层螺旋CT检查在囊腔型肺癌和薄壁空洞性肺结节鉴别诊断中的应用价值

Application value of multi-slice spiral CT in the differential diagnosis of cystic lung cancer and thin-walled cavitary pulmonary nodules

雷真真 康雯雯 田成斌
癌症进展2024,Vol.22Issue(14) :1567-1569,1592.DOI:10.11877/j.issn.1672-1535.2024.22.14.14

多层螺旋CT检查在囊腔型肺癌和薄壁空洞性肺结节鉴别诊断中的应用价值

Application value of multi-slice spiral CT in the differential diagnosis of cystic lung cancer and thin-walled cavitary pulmonary nodules

雷真真 1康雯雯 1田成斌1
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作者信息

  • 1. 平煤神马医疗集团总医院放射科,河南 平顶山 467000
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摘要

目的 探讨多层螺旋CT(MSCT)检查在囊腔型肺癌和薄壁空洞性肺结节鉴别诊断中的应用价值.方法 选取110例囊腔型肺癌患者和110例薄壁空洞性肺结核患者,分别作为观察组和对照组.所有患者均进行MSCT检查,比较两组患者的MSCT影像学特征,并对两组患者的MSCT征象进行定量分析.结果 两组患者病灶边缘、瘤肺界面、含气腔隙数、内壁光整度、内部结构、周围结构、形态分型、蜂窝征、磨玻璃征比较,差异均有统计学意义(P<0.05).观察组患者含气腔隙壁厚明显小于对照组,差异有统计学意义(P<0.01).结论 囊腔型肺癌和薄壁空洞性肺结节的MSCT征象具有一定差异,MSCT检查有助于这两种疾病的鉴别诊断.

Abstract

Objective To investigate the application value of multi-slice spiral CT(MSCT)in the differential diagno-sis of cystic lung cancer and thin-walled cavitary pulmonary nodules.Method A total of 110 patients with cystic lung cancer and 110 patients with thin-wall cavitary pulmonary nodules were selected as the observation group and the control group,respectively.All patients underwent MSCT examination,MSCT imaging features of the two groups were com-pared,and the MSCT signs of the two groups were quantitatively analyzed.Result There were statistically significant differences in lesion edge,tumor lung interface,number of air spaces,inner wall smoothness,internal structure,surround-ing structure,morphological classification,honeycomb sign and ground glass sign between the two groups(P<0.05).The wall thickness of air space in the observation group was significantly lower than that in the control group,and the differ-ence was statistically significant(P<0.01).Conclusion There are some differences in the MSCT signs between cystic lung cancer and thin-walled cavitary pulmonary nodules.MSCT examination is helpful in the differential diagnosis of the two diseases.

关键词

多层螺旋CT/囊腔型肺癌/薄壁空洞性肺结节/鉴别诊断

Key words

multi-slice spiral CT/cystic lung cancer/thin-walled cavitary pulmonary nodule/differential diagnosis

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基金项目

河南省中医药科学研究专项课题(2022ZY1191)

出版年

2024
癌症进展
中国医学科学院,北京协和医学院

癌症进展

影响因子:1.004
ISSN:1672-1535
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