首页|GE64排螺旋CT低剂量扫描用于肺孤立小结节良恶性鉴别诊断的临床价值

GE64排螺旋CT低剂量扫描用于肺孤立小结节良恶性鉴别诊断的临床价值

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目的:探讨采用GE64排螺旋CT低剂量扫描为肺孤立小结节患者进行良恶性鉴别诊断的效果.方法:纳入105例肺孤立小结节病例,患者均于2023年4月~2024年5月在本院进行诊断与治疗,为其提供64排螺旋CT低剂量扫描,参考患者最终病理结果对良恶性肺孤立小结节的影像学特征、分布情况以及动态增强CT扫描结果进行阐述.结果:最终检出的良性结节53例、恶性52例,得出敏感度87.04%,特异度90.20%和准确度88.57%的结论.在恶性的类型占比中,鳞癌最高(46.30%),平滑肌肉瘤最低(5.56%).良性占比中结核最高(35.29%),最低的则是透明性血管瘤(3.92%).良恶性CT检测值相比,恶性更高(P<0.05).结论:为肺孤立小结节患者实施64排螺旋CT低剂量扫描诊断,可较准确诊出患者良恶性情况,在敏感度、特异性、准确度方面较高,为后续的治疗提供重要参考.
The Clinical Value of Low-Dose GE64 Slice Spiral CT Scan in the Differential Diagnosis of Benign and Malignant Pulmonary Solitary Nodules
Objective:To evaluate the effect and value of low-dose ge GE 64-slicespiral CT in the differential diagnosis of small solitary pulmonary nodules (SPNS). Methods:105 cases of solitary pulmonary nodules were included,all of whom underwent diagnosis and treatment at our hospital from April 2023 to May 2024. They were provided with low-dose 64-slice spiral CT scans,and the imaging characteristics,distribution,and dynamic enhanced CT scan results of benign and malignant solitary pulmonary nodules were described based on the final pathological results of the patients. Results:There were 53 cases of benign nodules and 52 cases of malignant nodules diagnosed by low-dose 64-slice spiral CT,the sensitivity,specificity and accuracy were 87.04%,90.20% and 88.57%,respectively. The proportion of malignant nodular squamous cell carcinoma was the highest (46.30%),and that of Leiomyosarcoma carcinoma was the lowest (5.56%). The proportion of benign tuberculosis was the highest (35.29%),and that of hyaline hemangioma was the lowest (3.92%). The detection value of malignant solitary small pulmonary nodules on CT was significantly higher than that of benign pulmonary nodules (P<0.05). Conclusion:Low-dose GE 64-slice spiral CT is a sensitive,specific and accurate method for the diagnosis of benign and malignant small solitary pulmonary nodules.

low-dose GE 64-slice spiral CTsolitary small pulmonary nodulesbenign and malignantdifferential diagnosis

曾纬阳、彭伟生、邓娜、康晓强

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中国人民解放军联勤保障部队第九一〇医院放射诊断科,福建泉州 362000

GE64排螺旋CT低剂量扫描 肺孤立小结节 良恶性 鉴别诊断

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(24)