恶性胸膜间皮瘤X线与CT的应用比较  

Malignant pleural mesothelioma:comparison of X-ray film and CT

作　　者：沈岚[1] 张国桢[1] 孙荣跃[1] 乔文龙[1] 

机构地区：[1]上海华东医院放射科,200040

出　　处：《上海医学影像》2006年第2期93-95,共3页Shanghai Medical Imaging

摘　　要：目的分析恶性胸膜间皮瘤的X线胸片和CT征象,并比较两种方法对恶性胸膜间皮瘤的诊断价值。方法回顾性分析18例经组织学证实的恶性胸膜间皮瘤的X线胸片和CT图像。结果恶性胸膜间皮瘤的X线和CT征象包括结节状胸膜增厚、环状胸膜增厚以及纵隔、胸壁侵犯等。X线和CT诊断恶性胸膜间皮瘤的准确率分别为9/18和14/18。结论CT在确定恶性胸膜间皮瘤的病变部位、范围及分期方面较X线胸片有其优势。Objective To analyse the X-ray film and CT findings of malignant pleural mesothelioma, and compare the usefulness of two methods in the diagnosis of malignant pleural mesothelioma. Methods The CT and X-ray images of 18 patients with malignant pleural mesothelioma proved by histologically were retrospectively reviewed. Results The main CT and X-ray findings were nodular pleural thickening, ring-like pleural thickening, mediastinal and chest wall involvement. The accuracy of diagnosing were 9/18（X-ray） and 14/18（CT）. Conclusion CT have an advantage over X-ray exhibition in detecting the location, extent and staging in malignant pleural meothelioma.

关 键 词：恶性胸膜间皮瘤 放射摄影术 体层摄影术 X线计算机 

分 类 号：R734.3[医药卫生—肿瘤] R563.1[医药卫生—临床医学]