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周围型小肺癌与肺炎性结节MSCT征象对比及鉴别诊断价值

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目的:探讨SPLC与PIN的MSCT征象对比及其鉴别诊断价值。方法:选取 74 例于 2019 年 4 月至 2023年 7月收治的SPLC患者为SPLC组,同期 46例PIN患者为PIN组,分析MSCT对SPLC与PIN的鉴别诊断价值,并比较SPLC与PIN的征象差异以及影像学特点。结果:病理学检查结果显示有 6 例SPLC患者被误诊为PIN,8 例PIN患者被误诊为SPLC,总误诊率为 14 例,准确度为 88。33%(106/120)。在 5mm和 1mm重建征象中,SPLC患者在分叶征、毛刺征、胸膜凹陷征、血管集束征等多种征象的占比均高于PIN患者(P<0。001)。SPLC患者动脉期CT增加值亦高于PIN患者(P<0。001)。结论:MSCT能有效鉴别SPLC与PIN,为SPLC与PIN的诊疗提供参考。
Comparison and differential diagnostic value of MSCT signs between peripheral small lung cancer and pulmonary nodules
Objective:Exploring the comparison and differential diagnostic value of MSCT features between peripheral SPLC and PIN.Method:74 SPLC patients admitted from April 2019 to July 2023 were selected as the SPLC group,while 46 PIN patients were selected as the PIN group during the same period.The differential diagnostic value of MSCT for SPLC and PIN was analyzed,and the differences in signs and imaging characteristics between SPLC and PIN were compared.Result:Pathological examination showed that 6 SPLC patients were misdiagnosed as PIN,and 8 PIN patients were misdiagnosed as SPLC.The total misdiagnosis rate was 14 cases,with an accuracy of 88.33%(106/120).In the reconstruction signs of 5mm and 1mm,the proportion of SPLC patients in various signs such as lobulation sign,hairpin sign,pleural depression sign,and vascular bundle sign was higher than that of PIN patients(P<0.001).The arterial CT increase in SPLC patients was also higher than that in PIN patients(P<0.001).Conclusion:MSCT can effectively distinguish between SPLC and PIN,providing reference for the diagnosis and treatment of SPLC and PIN.

Lung NeoplasmsCarcinoma,non-small cell lungSarcoidosislung

张雪健、江帆、沈蕾

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中国人民解放军联勤保障部队第九〇一医院放射诊断科,安徽合肥 230000

肺肿瘤 癌,非小细胞肺 结节病,肺

2024

现代科学仪器
中国分析测试协会

现代科学仪器

CSTPCD
影响因子:0.329
ISSN:1003-8892
年,卷(期):2024.41(5)