64排螺旋CT诊断早期中心型肺癌的临床效果  

The diagnosis effects of 64-slice spiral CT in early central lung cancer

作　　者：杨云辉[1] 

机构地区：[1]西双版纳州人民医院放射科,云南西双版纳666100

出　　处：《中国医学物理学杂志》2015年第3期429-431,共3页Chinese Journal of Medical Physics

摘　　要：目的:通过针对早期中心型肺癌患者开展64排螺旋CT扫描,探讨该种诊断方式的临床应用价值。方法:选取2012年4月至2014年4月本院收治的81例早期中心型肺癌患者作为研究样本,所有患者均开展64排螺旋CT检查,详细记录病患肺段与肺叶支气管的影像学病变表现,并联合手术病理结果进行统计学比较与分析,综合临床观察结果判定该种检查方式的应用效果。结果:本组患者通过临床CT扫描后,81例病例的肺支气管均获良好表现,无一例病例存在显示不佳情况,其检查的显示率为100%。患者的CT扫描病变支数准确率中气管为100.00%,主支气管为95.35%,叶支气管为96.20%,近端段支气管为88.24%。CT扫描与病理结果中支气管腔异常、支气管壁异常以及肺炎与肺气肿的诊断结果比较未见明显差异,无统计学意义(P>0.05)。结论:针对中心型肺癌早期患者采用64排螺旋CT诊断可明确表现病灶部位、数量、阻塞状况以及支气管受累征象,指导临床手术治疗的准确开展,并对临床预后效果具有良好的评估作用,提高临床早期诊断价值,确保患者的生存机率。Objective To discuss on the clinical diagnosis effects of 64-slice spiral CT for early central lung cancer. Methods Admitted to our hospital from April 2012 to April 2014, 81 patients with central lung cancer were selected to be examined by 64-slice spiral CT. The details of imaging lesions manifestations in lobar bronchus and lung segment were recorded and statistically compared with the operative and pathological results. And the clinical effects of 64-slice spiral CT were determined with the comprehensive consideration of clinical observation results. Results Aider CT scanning, the lobar bronchi of 81 patients achieved satisfactory manifestations, without unfavorable conditions, and the detection rate was 100%. The accurate rates of the number of pathological mid-bronchus, main bronchus, lobar bronchus, proximal bronchus were respectively 100.00%, 95.35%, 96.20% and 88.24%. The pathological diagnosis and CT scans results of bronchial abnormalities, abnormal bronchial wall, pneumonia and emphysema had no significant difference, without statistical significance （P〉0.05）. Conclusion The 64-slice spiral CT for early central lung cancer can accurately demonstrate the site, number and obstructive conditions of the lesion and the bronchial involvement to increase the survival rate of patients by providing guidance for surgical treatment, assessing the prognosis evaluation and improving the early diagnosis value.

关 键 词：中心型肺癌 早期 64排螺旋CT 

分 类 号：R445.4[医药卫生—影像医学与核医学] R734.2[医药卫生—诊断学]