首页|64排螺旋CT发现及随访肺磨玻璃样结节对早期肺癌的诊断价值

64排螺旋CT发现及随访肺磨玻璃样结节对早期肺癌的诊断价值

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目的:探讨64排螺旋CT发现及随访肺磨玻璃样结节(ground glass nodule,GGN)对早期肺癌诊断的临床价值.方法:选取2020年1月-2023年5月在江苏省邳州市中医院就诊行肺部检查并发现存在GGN的患者为观察对象,深入探讨采用64排螺旋CT发现和随访GGN对诊断早期肺癌的作用和价值.结果:以病理活检检出结果为金标准,30例患者中良性5例,恶性25例,经64排螺旋CT检查检出率为93.33%(28/30),其中良性结节4例,恶性肿瘤24例,其检出率与病理活检结果相差不大,对比差异无统计意义(P>0.05);经64排螺旋CT检查可见,恶性病变者GGN的分叶征、毛刺征和胸膜尾征的检出率高于良性病变者,差异有统计学意义(P<0.05),空泡征的检出率对比差异无统计学意义(P>0.05);经半年随访和观察统计,随访复查时的GGN恶性检出率明显高于初次检测的检出率,对比差异有统计学意义(P<0.05).结论:肺磨玻璃样结节的诊断选择64排螺旋CT具有较高的检出率,而且能明确区分结节的不同征象特点,通过后期随访复查,能增加早期肺癌的检出率,便于临床尽早救治,此技术值得临床推广应用.
The Diagnostic Value of 64 Slice Spiral CT in Detecting and Following up Pulmonary Ground Glass Nodules for Early Lung Cancer
Objective:Exploring the clinical value of 64 slice spiral CT in detecting and following up pulmonary ground glass nodules(GGN)in the diagnosis of early lung cancer.Methods:Select patients who underwent lung examinations at Pizhou Traditional Chinese Medicine Hospital in Jiangsu Province from January 2020 to May 2023 and found GGN as the observation subjects,and deeply explore the role and value of using 64 slice spiral CT to detect and follow up GGN in the diagnosis of early lung cancer.Re-sults:Based on the pathological biopsy results as the gold standard,among the 30 patients,5 were benign and 25 were malignant.The detection rate on 64 slice spiral CT was 93.33%(28/30),including 4 benign nodules and 24 malignant tumors.The detection rate was not significantly different from the pathological biopsy results,and the difference was not statistically significant(P>0.05);Through 64 slice spiral CT ex-amination,it can be seen that the detection rates of lobulation sign,hairpin sign,and pleural tail sign in malignant lesions are higher than those in benign lesions,with statistical significance(P<0.05),while the detection rates of vacuolar sign have no significant difference(P>0.05);After halfa year of follow-up and observation statistics,the malignant detection rate of GGN during follow-up and re examination was sig-nificantly higher than the detection rate of the initial test,and the difference was statistically significant(P<0.05).Conclusion:The selection of 64 slice spiral CT for the diagnosis of ground glass like nodules in the lung has a high detection rate and can clearly distinguish the different characteristics of the nodules.Through follow-up and re examination in the later stage,the detection rate of early lung cancer can be in-creased,making it easier for clinical treatment as soon as possible.This technology is worthy of clinical promotion and application.

64 row spiral CTFollow up pulmonary ground glass nodulesEarly lung cancerDetec-tion rateDiagnostic value

胡天明

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江苏省邳州市中医院放射科,江苏 221300

64排螺旋CT 随访肺磨玻璃样结节 早期肺癌 检出率 诊断价值

2024

影像技术
中国感光学会 全国轻工感光材料信息中心

影像技术

影响因子:0.37
ISSN:1001-0270
年,卷(期):2024.36(1)
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