双层螺旋CT对肺部单发结节的诊断价值  

Diagnostic Value of Double-helical CT in the Diagnosis of Solitary Lung Nodules

作　　者：黎明[1] 

机构地区：[1]河南省中医院放射科,河南郑州450002

出　　处：《中外医疗》2016年第2期192-193,共2页China & Foreign Medical Treatment

摘　　要：目的研究双层螺旋CT对肺部单发结节的诊断价值。方法整群选取该院2013年2—10月收治的80例肺部单发结节患者,采用双层螺旋CT对患者进行诊断,观察患者恶性结节和良性结节例数以及恶性结节类型。参照最终诊断结果对此次诊断采取前瞻性分析。结果双层螺旋CT诊断恶性结节42例(鳞癌14例、腺癌19例、转移瘤6例、周围型肺炎3例),良性结节30例(结核球14例、硬化性血管瘤7例、炎性假瘤5例、肺动脉断面4例),4例未确诊,诊断灵敏度87.5%、特异性93.8%、准确性90%,相较最终病理诊断结果差异无统计学意义(P>0.05)。结论双层螺旋CT检测肺部单发结节诊断效果显著,具有较大临床价值。Objective To study the diagnostic value of double-helical CT in the diagnosis of solitary lung nodules. Methods 80 cases of patients with solitary lung nodules treated in our hospital from February 2013 to October 2013 were selected and diagnosed with double-helical CT, the case number of malignant nodules and benign nodules and the type of malignant nodules were observed, the diagnosis was prospectively analyzed referring to the final diagnosis results. Results By double-helical CT diagnosis, 42 cases were malignant nodules（Sq Ca in 14 cases, adenocarcinoma in 19 cases, metastatic neoplasm in 6 cases, peripheral pneumonia in 3 cases）, 30 cases were benign nodules（tuberculoma in 14 cases, sclerosing dngioma in 7 cases, inflammatory pseudotumor in 5 cases, pulmonary artery section in 4 cases）, 4 cases were not diagnosed,the diagnostic sensitivity, specificity and accuracy were respectively 87.5%, 93.8% and 90%, the difference was not obvious compared with the final pathological diagnosis results（P〉0.05）. Conclusion Double-helical CT in the diagnosis of solitary lung nodules has an obvious effect and it is of great clinical value.

关 键 词：双层螺旋CT 肺部单发结节 诊断 

分 类 号：R5[医药卫生—内科学]