计算机成像血管造影与数字减影血管造影对非小细胞性肺癌术前评估意义  

Significance of CT angiography and digital subtraction angiography in preoperative evaluation of patients with non-small cell lung cancer

作　　者：方寅[1] 谢伟[1] 沙正宏 许涛[1] 寇克韧 

机构地区：[1]安徽省芜湖市第一人民医院胸心外科,安徽芜湖241001 [2]安徽省芜湖市第一人民医院介入科,安徽芜湖241001

出　　处：《实用临床医药杂志》2016年第13期22-24,28,共4页Journal of Clinical Medicine in Practice

基　　金：安徽省芜湖市科学技术计划卫生类项目(2011卫生12-2)

摘　　要：目的探讨计算机成像血管造影(CTA)及数字减影血管造影(DSA)对非小细胞肺癌患者的评估效果。方法通过CTA及DSA评估患者肿瘤大小、位置、侵犯肺中央血管的程度及淋巴结转移情况,分析二者评估结果与术后病理诊断的一致性。结果 CTA与DSA对患者诊断阳性率、肿瘤大小、肿瘤侵犯中央血管情况无显著差异(P>0.05),手术组与非手术组患者在肿瘤大小、侵犯肺中央动脉、静脉情况及淋巴结转移均存在显著差异。结论 CTA、DSA对肿瘤大小、侵犯肺中央血管的诊断价值价高,但在判断淋巴结转移方面仍有欠缺。Objective To explore the effects of CT angiography （CTA） and digital subtraction angiography （DSA） in evaluation of patients with non-small cell lung cancer （NSCLC）. Methods Tumor size, location, degree of invasion of the lung central vessels and lymph node metastasis were evaluated by CTA and DSA, and the consistency between the two assessment results and the postoperative pathologic diagnosis was analyzed. Results There were no significant differences in positive rate of diagnosis, tumor size, tumor invasion of the central vascular situation between the CTA and DSA （ P 〉 0.05 ）. There were significant differences in tumor size, invasion of central pulmonary artery, vein and lymph node metastasis between non-surgical group and surgical group. Conclusion CTA and DSA show high values in diagnosis of tumor size, invasion of central pulmonary vessels, but are still lacking in judgment of lymph node metastases.

关 键 词：非小细胞肺癌 计算机成像血管造影 数字减影血管造影 肺中央血管 

分 类 号：R734.2[医药卫生—肿瘤]