首页|CT联合DR检查在原发性肺癌临床诊断中的应用

CT联合DR检查在原发性肺癌临床诊断中的应用

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目的:探讨电子计算机断层扫描仪器(Computed Tomography,CT)联合数字化X摄影术(Digital Radiography,DR)检查在原发性肺癌临床诊断中的应用效果.方法:选取 2020 年 4 月至 2022 年 12 月我院收治的 112 例疑似原发性肺癌患者作为研究对象,所有患者均接受CT、DR和手术病理检查.以病理检查为金标准,分析CT、DR对原发性肺癌的影像学特征检出情况,对比CT、DR单独及联合诊断原发性肺癌的效能.结果:手术病理结果显示,112 例患者中被确诊为原发性肺癌患者 96 例 85.71%.在所有确诊的原发性肺癌患者中,CT扫描在肿块征、毛刺征、胸水、厚壁空洞、血管积聚征和分叶征的检出率上明显高于DR(P<0.05).CT联合DR诊断原发性肺癌的阳性病例预测值高于CT与DR单独检测(P<0.05);CT联合DR诊断原发性肺癌的灵敏度、准确度均明显高于CT或DR单独检测(P<0.05),CT和DR联合诊断的特异度明显高于DR(P<0.05).结论:CT结合DR检查提高了原发性肿瘤早期诊断的灵敏度跟准确度,使影像学特征更加清晰直观,便于诊断,为早期诊断肺癌患者提供依据.
Application of CT combined with DR In the clinical diagnosis of primary lung cancer
Objective:To investigate the clinical diagnosis of primary lung cancer with Computed Tomography(CT)combined with Digital Radiography(DR).Methods:A total of 112 patients with suspected primary lung cancer admitted to our hospital from April 2020 to December 2022 were selected as the study objects.All patients were examined by CT,DR And surgical pathology.Using pathological examination as the gold standard,the imaging features of CT and DR In primary lung cancer were analyzed,and the efficacy of CT and DR Alone and combined in the diagnosis of primary lung cancer was compared.Results:The pathological results showed that 96 of the 112 patients were diagnosed as primary lung cancer(85.71%).In all confirmed patients with primary lung cancer,the detection rates of mass,burr,pleural effusion,thick-walled cavity,vascular accumulation and lobed sign were significantly higher on CT than DR(P<0.05).The positive case predictive value of CT combined with DR In the diagnosis of primary lung cancer was higher than that of CT combined with DR Alone(P<0.05).The sensitivity and accuracy of CT combined with DR In the diagnosis of primary lung cancer were significantly higher than that of CT or DR Alone(P<0.05),and the specificity of CT combined with DR Was significantly higher than that of DR(P<0.05).Conclusion:CT combined with DR Can improve the sensitivity and accuracy of the early diagnosis of primary tumors,make the imaging features more clear and intuitive,and provide evidence for the early diagnosis of lung cancer patients.

CTDRPrimary lung cancerClinical diagnosis

张建、李可可、王宇星

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河南五建建设集团有限公司职工医院放射科,河南 郑州 450007

CT DR 原发性肺癌 临床诊断

2024

四川生理科学杂志
四川省生理科学会

四川生理科学杂志

影响因子:0.575
ISSN:1671-3885
年,卷(期):2024.46(1)
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