螺旋CT在肺孤立性结节诊断中的应用及临床意义  

The application and valuation of spiral CT in the diagnosis of solitary pulmonary nodules

作　　者：韩凤东 李冬[1] 赵英男[1] 朱瑞萍[2] 

机构地区：[1]武警辽宁总队医院大连分院放射科,辽宁大连116013 [2]大连大学附属中山医院病理科,辽宁大连116001

出　　处：《武警医学院学报》2010年第3期181-183,F0004,共4页Acta Academiae Medicinae CPAPF

摘　　要：【目的】探讨螺旋CT在肺孤立性结节诊断中的应用及临床意义,为临床诊断提供依据。【方法】对96例肺孤立性结节患者行螺旋CT检查,分析螺旋CT的影像学表现,并与病理结果进行对比。【结果】螺旋CT能较准确地对肺孤立性结节作出诊断,与病理诊断差别无显著性(P>0.05)。螺旋CT扫描能充分显示肺孤立性结节内的细微结构,与病理检查相比较无统计学差异(P>0.05),螺旋CT诊断肺孤立性结节的敏感度、特异度分别为95%、57%。【结论】根据螺旋CT影像学检查,结合病史可以对肺孤立性结节做出基本准确的诊断。[Objective]To explore the application and valuation of spiral CT in the diagnosis of solitary pulmonary nodules（SPN）.[Methods] 96 SPN patients was diagnosed using spiral CT,and comparing to the histopathologic data.[Results] Spiral CT can show the type and the micro-structure of SPN,and had no significant difference with the histopathologic results（P0.05）.The sensitivity for malignant nodules was 95%,specificity 57%.[Conclusions]With consideration of the history,the valuable diagnosis may be made for SPN on the basis of the signs of CT.

关 键 词：螺旋CT 肺孤立性结节 临床意义 

分 类 号：R81[医药卫生—放射医学]