老年人肺癌的临床及CT诊断(附124例分析)  

The Clinical and CT Diagnosis of Pulmonary Bronchogenic Carcinoma in Elderly People (An Analysis of 124 Cases)

作　　者：戴建业[1] 高德伟[1] 陈静雯[1] 钟大光[1] 

机构地区：[1]解放军总医院南楼呼吸科,北京100853

出　　处：《中国医学影像学杂志》2001年第4期250-252,共3页Chinese Journal of Medical Imaging

摘　　要：目的 :探讨老年人肺癌的临床和CT诊断的准确性。材料与方法 :1987～ 1998年 132例肺部肿块的临床和CT检查资料。结果 :12 4例为肺癌。CT征象 :92例有分叶征象 (74.2 % ) ,5 9例有短而细毛刺 (47.6 % ) ,2 7例有锯齿样改变 (2 1.8% ) ;胸膜凹陷征 5 9例 (47.6 % ) ,血管集束征 38例 (30 .6 % ) ,细支气管充气征 41例 (33 .1% )。结论 :把握CT的肺癌征象 ,结合临床表现及定期查体 ,可提高老年人肺癌的诊断水平。Purpose: To discuss the clinical features and the CT diagnostic accuracy of pulmonary bronchogenic carcinoma in elderly people. Materials and methods: The CT and clinical data of 132 cases of pulmonary masses were studied retrospectively. Results: 124 of 132 cases were pulmonary bronchogenic carcinoma. CT manifestations showed lobulated sign 74.2%, spicule sign 47.6%, serrated sign 21.8%, pleural retraction 47.6%, blood vessels concentrating to the lesions 30.6% and vacuole sign 33.1%. Conclusion: Well understanding CT features combined with the clinical manifestations can improve the diagnostic accuracy of lung cancer in elderly.

关 键 词：肺癌 老年人 CT 诊断 

分 类 号：R734.204[医药卫生—肿瘤]