多层螺旋CT平扫联合三期增强扫描在肺癌诊断中的应用价值
Application Value of Multi-Slice Spiral CT Plain Scan Combined with Three-Phase Enhanced Scan in the Diagnosis of Lung Cancer
李鹏政 1李卫星 1张冰凌 1宋瑞敏 1盛俊卿 1程保国1
作者信息
- 1. 新乡市中心医院(新乡医学院第四临床学院)CT室,河南 新乡 453000
- 折叠
摘要
目的 分析多层螺旋CT(MSCT)平扫联合三期增强扫描在肺癌诊断中的应用价值.方法 选取 2020 年 7 月至2022 年 8 月我院收治的 80 例疑似肺癌患者,均接受MSCT平扫及三期增强扫描检查.以病理检查结果作为诊断"金标准",统计MSCT平扫、MSCT平扫联合三期增强扫描的诊断结果,并分析二者对肺癌的诊断价值.结果 MSCT平扫联合三期增强扫描诊断肺癌的灵敏度及准确度均高于MSCT平扫(P<0.05).一致性检验结果显示,MSCT平扫对肺癌检出结果的一致性尚可(Kappa值=0.537),MSCT平扫联合三期增强扫描对肺癌检出结果的一致性良好(Kappa值=0.817).结论 MSCT平扫联合三期增强扫描诊断肺癌的灵敏度及准确度较高,且与病理检查结果存在较高的一致性.
Abstract
Objective To analyze the application value of multi-slice spiral CT(MSCT)plain scan combined with three-phase enhanced scan in the diagnosis of lung cancer.Methods A total of 80 patients with suspected lung cancer admitted to our hospital from July 2020 to August 2022 were selected.All patients underwent MSCT plain scan and three-phase enhanced scan.The results of pathological examination were used as the"gold standard"for diagnosis.The diagnostic results of MSCT plain scan,and MSCT plain scan combined with three-phase enhanced scan were counted,and the diagnostic value of the two for lung cancer was analyzed.Results The sensitivity and accuracy of MSCT plain scan combined with three-phase enhanced scan in the diagnosis of lung cancer were higher than those of MSCT plain scan(P<0.05).The consistency test results showed that the consistency of MSCT plain scan for lung cancer detection results was acceptable(Kappa value=0.537),and the consistency of MSCT plain scan combined with three-phase enhanced scan for lung cancer detection results was good(Kappa value=0.817).Conclusions MSCT plain scan combined with three-phase enhanced scan in the diagnosis of lung cancer has high sensitivity and accuracy,and has high consistency with the results of pathological examination.
关键词
肺癌/多层螺旋CT平扫/三期增强扫描/诊断/一致性Key words
Lung cancer/Multi-slice spiral CT plain scan/Three-phase enhanced scan/Diagnosis/Consistency引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据