74例肺部病变患者的CT扫描及穿刺活检病理对照分析  

Comparative Analysis of Pathological Findings of CT Scan and Biopsy in 74 Patients with Lung Diseases

作　　者：刘颖[1] 黄学全[2] 张知贵[1] 

机构地区：[1]重庆市巴南区人民医院放射科,重庆401320 [2]第三军医大学西南医院放射科,重庆400038

出　　处：《中国CT和MRI杂志》2016年第4期41-44,共4页Chinese Journal of CT and MRI

摘　　要：目的分析CT扫描在肺部病变患者诊断中的应用价值。方法回顾性分析我院收治的74例肺部病变患者的临床资料,所有患者入院后均已接受CT扫描检查及穿刺活检,比较CT诊断与病理检查符合率,分析肺部疾病CT表现特点及诊断价值。结果 CT检出肺良性病变24例,其中纤维组织增生11例(91.67%),肺炎7例(100.00%),肺结核5例(100.00%),非典型腺瘤样增生2例(50.00%),1例错构瘤误诊,1例纤维组织增生、非典型腺瘤样增生漏诊;CT检出肺恶性病变42例,其中鳞癌20例(90.91%),腺癌15例(93.75%),未分化癌7例(87.50%),与病理检查整体符合度为89.19%。结论在肺部疾病的诊断中,采用多层螺旋CT扫描,软组织分辨率高,无创,重复性好,对肺部良、恶性病变均有较高的检出率,与病理检查符合度高,有其较高的临床应用价值。Objective To analyze the value of CT scan in the diagnosis of patients with pulmonary diseases. Methods The clinical data of 74 patients with pulmonary diseases in our hospital were retrospectively analyzed. All patients underwent CT scan and biopsy after admission. The coincidence rate of CT diagnosis and pathological examination was compared. The CT findings and diagnostic value in pulmonary diseases were analyzed. Results CT detected 24 cases with benign lung lesions, including 11 cases（91.67%） of fibrous tissue hyperplasia, 7 cases（100.00%） of pneumonia, 5 cases（100.00%） of pulmonary tuberculosis, 2 cases（50.00%） of atypical adenomatous hyperplasia. There was 1 case of hamartoma misdiagnosed, 1 case of fibrous tissue hyperplasia and atypical adenomatous hyperplasia missed diagnosed; CT detected 42 cases with lung malignant lesions, including squamous cell carcinomas in 20 cases（90.91%）, adenocarcinomas in 15 cases（93.75%） and undifferentiated carcinomas in 7 cases（87.50%）. The overall consistency with pathological examination was 89.19%. Conclusion In the diagnosis of pulmonary diseases, the application of multi-slice spiral CT scan is of high resolution to soft tissues, noninvasive, with good reproducibility which has higher detection rate of benign and malignant lung lesions and the high consistency with pathological examination. It is of high clinical application value.

关 键 词：肺疾病 CT 穿刺活检 病理 

分 类 号：R445.3[医药卫生—影像医学与核医学]