68例肺孤立小结节的临床分析  

Clinical study of 68 patients with pulmonary solitary nodule

作　　者：郑峰[1] 伊力亚尔.夏合丁 张铸[1] 吴明拜[1] 张力为[1] 

机构地区：[1]新疆医科大学第一附属医院胸外科,新疆乌鲁木齐830054

出　　处：《新疆医科大学学报》2008年第3期300-302,共3页Journal of Xinjiang Medical University

摘　　要：目的:讨论肺孤立结节患者的临床特点及影像学表现。方法:回顾分析我科68例肺孤立小结节患者的临床资料,对其临床特点及影像学表现进行统计分析,计算主要辅助检查诊断的准确率。结果:68例患者中,肺恶性肿瘤34例(50%),肺良性肿瘤16例(23.53%),肺结核球18例(26.47%)。随着结节直径增大,肺癌的发生率增高。胸部X线诊断的准确率为38.24%,胸部CT诊断的准确率为75%,纤维支气管镜检查准确率为13.64%,痰细胞学检查准确率为7.89%。结论:肺部孤立结节是一组病因复杂的疾病,其中恶性病变约占50%,诊断上仍有一定困难。治疗上应及早手术,彻底切除病变,尽量保存肺组织。Objective： To evaluate correct diagnosis of solitary pulmonary nodule （SPN） by clinical manifestations and chest imagery peculiarity. Methods： From 2002 to 2006, 68 patients with SPN were operated in our deparment, Their CT findings and clinical manifestations were retrospectively analysed to evaluate the main accessory examinations＇ forecast accuracy. Results： Of these 68 patients, there were 34（50%） lung cancer,16（23.53%） benign tumors and 18（26.47%） tuberculosis. The average age of lung twberculosis was young （35.83 years old）. With accretion of SPN＇s diameter, the incidence of lung cancer increased. Forecast accuracy of chest X-ray was 38.24%, CT scan 75%, fibreoptic bronchoscopy 13.64%, and sputum cytology examination 7.89%. Conclusion： Solitary pulmonary nodule consists of a number of diseases, Approximately 50% SPNs are malignant. The differential diagnosis is still difficult. Surgical resection is the ideal treatment approach, it should be taken as early as possible. The principle of operation is removing the nodule thoroughly and saving pulmonary function mostly.

关 键 词：肺孤立小结节 CT 诊断 

分 类 号：R655.3[医药卫生—外科学]