120例周围型肺癌CT扫描影像学诊断及临床特征统计分析  

Statistical analysis on the clinical features and imaging diagnosis of 120 patients with peripheral lung cancer by CT scanning

作　　者：刘红宇[1] 谭恺[1] 吴海鸰[1] 王斌[1] 陈超[1] 

机构地区：[1]台州市中心医院放射科,浙江省318000

出　　处：《中国医院统计》2013年第3期174-176,共3页Chinese Journal of Hospital Statistics

摘　　要：目的 探讨应用CT扫描对周围型肺癌进行影像学诊断并分析临床特征,为临床影响诊断提供依据.方法 选择我院2010年7月至2012年12月影像科诊断的周围型肺癌患者120例,对其影像学诊断和临床特征进行分析.结果 周围型肺癌右肺分布为60.0%（72/120）,多于左肺分布40.0%（48/120） （P＜0.05）;且男性和女性周围型肺癌右肺分布分别为60.9%（39/64）和58.9%（33/56）,均高于左肺 （P＜0.05）;右肺上叶为28.3%（34/120）,高于其他部位 （P＜0.05）;肿块、分叶、毛刺、棘样突起、空泡/细支气管充气征、厚壁空洞、胸水、血管聚集 、肺门淋巴结肿大和胸膜凹陷等方面比较,CT扫描检出率均高于X线平片（P＜0.05）;从形状来看,不规则形为61.7%（74/120）,高于类球形38.3%（46/120） （P＜0.05）;且直径在6.1～8.0cm和＞8.0cm两个范围内,不规则形为均高于类球形,差异均有统计学意义（P＜0 05）;密度结果为空泡高于空洞、钙化和坏死,差异均有统计学意义（P＜0.05）.结论 CT典型征象是周围型肺癌定性诊断的关键,通过评价肿块内部、边缘征象和周围肺部情况提高诊断符合率.Objective To explore the application of CT scanning on peripheral lung cancer imaging diagnosis and analy- sis of clinical features, provide the basis for clinical diagnosis. Methods From July 2010 to December 2012, 120 patients with peripheral lung cancer were selected , and which clinical characteristics of the imaging diagnosis were analysed. Results Pe- ripheral lung cancer at the right pulmonary distribution was 60% （72/120） ,which was more than that of the left pulmonary dis- tribution 40% （48/120） （ P〈0.05 ） ; and the right of pulmonary distribution of peripheral lung cancer of men and women were 60.92 （39/64） and 58.93% （33/56） , which were higher than those of the left lung （ P〈0.05 ） ; the upper lobe of the right lung 28.33% （34/120） was more than the other sites （P〈0.05）; The detection rate of mass, lobulation, spine-like protru- sions, burr, vacuolar / bronchiolar gas compares syndrome, thick wall cavity, pleural effusion, vascular aggregation, hilar lymphadenopathy and pleural indentation by CT were higher than those of X-ray scanning （P〈0.05） ;Judging from the shape, ir- regular shape 61.67% （74/120）was higher than that of spherical 38.33% （46/120） （P〈0.05） ; and the diameter of the 6.1 8.0cm and 〉8.0cm, the irregular shape were higher than that of spherical, the differences were significant （P〈0.05） ; The density of a bubble was than cavity, calcification and necrosis, the differences were significant （P〈0.05）. Conclusion CT typical signs were the key qualitative diagnosis of peripheral lung cancer, which can improve the diagnostic rate by evaluating the inside of the masses, edge features and the surrounding lung condition.

关 键 词：周围型肺癌 CT 影像学 

分 类 号：R734.2[医药卫生—肿瘤]