CT诊断肺癌合并上腔静脉综合征的临床  

CT diagnosis of lung cancer clinical experience with superior vena cava syn-drome

作　　者：陈思争[1] 于山[1] 

机构地区：[1]河南省永城市人民医院放射科,河南永城476600

出　　处：《中外医疗》2015年第2期169-170,共2页China & Foreign Medical Treatment

摘　　要：目的分析研究CT诊断肺癌合并上腔静脉综合征(SVCS)的临床效果。方法回顾性分析2011年6月—2014年6月该院收治的经病理确诊的肺癌合并上腔静脉综合征患者100例,分析CT与肺癌解剖部位、大体类型与其导致的SVCS方式关系。结果肺癌导致的SVCS方式中,淋巴结转移32例,直接侵犯14例,两者并存54例,不同部位不同类型肺癌导致的SVCS的方式,差异有统计学意义(P<0.05),肺癌诱发的SVCS的后变化主要包括胸壁水肿24例,侧支循环28例,两者并存30例,两组均无18例,随着梗阻程度不同,胸壁水肿以及侧支循环的CT显示不同,差异有统计学意义(P<0.05)。结论实施CT增强扫描可明确诊断肺癌合并上腔静脉综合征,为之后的临床治疗提供可参考的依据。Objective Analysis of the clinical effects of CT diagnosis of lung cancer with superior vena cava syndrome （SVCS） is on. Methods A retrospective analysis of our hospital merger pathologically diagnosed lung cancer patients with 100 cases of supe-rior vena cava syndrome, lung CT and anatomical analysis, gross type SVCS way relationship with its lead. Results SVCS way re-sulting in lung, lymph node metastasis, 32 cases, 14 cases of direct infringement, the two co-exist 54 cases, SVCS the way differ-ent parts of the different types of lung cancer caused by, a significant difference was statistically significant （P 〈0.05）, lung cancer SVCS after induced changes mainly include chest wall edema 24 cases, 28 cases of collateral circulation, both co-exist 30 cases, were no 18 cases, with different degree of obstruction, edema, and chest CT showed different collateral circulation, P 〈0.05 there was statistically significant. Conclusions Implementation of enhanced CT scan can confirm the diagnosis of lung cancer with supe-rior vena cava syndrome, clinical treatment for subsequent provide a basis for reference.

关 键 词：CT 肺癌 上腔静脉综合征 

分 类 号：R736[医药卫生—肿瘤]