探讨中央型肺癌X线与CT诊断的影像学特点和临床价值  

Studying the characteristics and clinical value of X-ray and CT diagnosis of central type lung cancer image

作　　者：高屹[1] 唐娟[2] 

机构地区：[1]山东省泰安市中医二院放射科,山东泰安271000 [2]山东省泰安市妇幼保健院东院内科,山东泰安271000

出　　处：《世界最新医学信息文摘》2013年第23期20-20,19,共2页World Latest Medicine Information Electronic Version

摘　　要：目的：探讨中央型肺癌 X 线与 ct 诊断的影像学特点和临床价值。方法抽取来我院诊治并经纤维支气管镜活检或手术及病理证实的中央型肺癌患者60例，对其 X 线及 ct 资料进行回顾性分析。结果60例患者中具有肺门区肿块，边缘模糊，呈分叶征，可伴有阻塞性肺气肿、肺炎、肺不张等 X 线表现而诊断为中央型肺癌者37例，准确率约为61.7%；具有管壁增厚、管腔内小结节、管腔狭窄或阻塞、肺门肿块（呈分叶征、毛刺征、边缘脐凹样改变）和纵隔淋巴结肿大等 ct 表现而诊断为中央型肺癌者56例，准确率约为93.3%。结论中央型肺癌的 X 线和 ct 诊断均具有特征性表现及较高的准确率，相比之下，ct 更具有优势，具有更高的临床诊断价值。Objective To investigate the imaging features and clinical value of X-ray and CT examination for central lung cancer.Methods 60 patients with central lung cancer were confirmed by fiberoptic bronchoscopy biopsy or surgery and pathology,the patient＆#39;s X-ray and CT data were retrospectively analyzed.Results 37 of the 60 patients were diagnosed with central lung cancer according to hilar area mass,edge blur, lobulation,accompanied by emphysema,pneumonia,atelectasis, and other X-ray findings,the accuracy rate is about 61.7%;56 of the 60 cases were diagnosed with central lung cancer according to wall thickening,the lumen of small nodules,stenosis or obstruction,hilar lumps（lobulation, spiculation,umbilical edge concave like changes） and mediastinal lymph nodes and other CT findings,the accuracy rate is about 93.3%.Conclusion X-ray and CT diagnosis of central lung cancer all have the characteristic performance and higher accuracy,by contrast,CT has more advantages and higher diagnostic value.

关 键 词：X 线 中央型肺癌 

分 类 号：R445[医药卫生—影像医学与核医学]