64排螺旋CT评价中央型肺癌气管、支气管及肺门血管侵犯的应用研究  

Evaluation of invasion of centrally located lung cancer to the trachea, bronchi, and hilar vessels using 64-slice CT

作　　者：黄宝泉[1] 郑悦[1] 张庆武[1] 曾向廷[1] 林惠如[1] 

机构地区：[1]汕头市中心医院放射科,515031

出　　处：《国际医药卫生导报》2010年第16期1981-1984,共4页International Medicine and Health Guidance News

摘　　要：目的 探讨64排螺旋CT血管成像诊断中央型肺癌（CLC）气管、支气管及肺门血管侵犯的准确性.方法 收集43例临床确诊的CLC患者64排螺旋CT检查结果,并以病理诊断结果为参照标准判断其准确性.结果 43例患者气管、支气管受侵,CT诊断气管、主支气管、叶支气管、近端段支气管的准确性分别为100%、97.67%、96.74%、88.37%.38例患者肺门血管受侵,CT诊断肺门血管受侵和可疑受侵的准确性分别为88.23%、75.00%.结论 64排螺旋CT能比较准确地显示CLC气管、支气管、肺门气管侵犯的情况.Objective To explore the accuracy of 64-slice computed tomography （CT） for evaluating invasion of centrally located lung cancer to the trachea, bronchi, and hilar vessels. Methods Fortythree patients who had undergone CT scans were collected. Pathological findings were documented and regarded as a gold standard for all the patients. Results Tracheal and/or bronchial invasion were found in all the patients. The accuracy of CT scans was 100% on tracheal invasion, 97.67% on primary bronchial invasion, 96.74% on lobe bronchial invasion, and 88.37% on proximal segmental bronchial invasion. Hilar vascular invasion was found in 38 patients, with an accuracy of 88.23% on definite invasion and 75.00% on suspicious invasion. Conclusions 64-slice CT has a high accuracy in demonstrating invasion of centrally located lung cancer to the trachea, bronchi, and hilar vessles.

关 键 词：中央型肺癌 体层摄影术 X线计算机 侵犯 

分 类 号：R730[医药卫生—肿瘤] R734[医药卫生—临床医学]