CT、DR对肺结核合并肺癌的诊断价值  

Diagnostic value of CT、DR in Pulmonary Tuberculosis Complicated with Lung Cancer

作　　者：刘亚斌[1] 宋晓琴[1] 白琛[1] 黄昊[1] 周成香[1] 吴少平[1] 

机构地区：[1]成都医学院第一附属医院,610500

出　　处：《实用癌症杂志》2016年第11期1872-1874,共3页The Practical Journal of Cancer

摘　　要：目的探讨DR、CT对肺结核合并肺癌的诊断价值。方法选取150例肺结核合并肺癌的患者,采用DR、CT影像分析方法,分析检查方法的结节检出数、各病理指标,探讨其临床诊断价值。结果 CT结节总检出率为38.00%,明显高于DR检出率(20.67%)(P<0.01);≤5 mm结节检出率CT为18.67%,明显高于DR检出率(5.33%)(P<0.01);CT检出气管病变率为24.00%,显著高于DR检出的气管病变率(7.30%),(P<0.01);CT检出支气管病变率为38.7%,明显高于DR检出的支气管病变率(22.7%)(P<0.05);CT检出纵隔淋巴结肿大率为26.00%,明显高于DR检出率(1.33%)(P<0.05)。结论 CT检查用于肺癌、肺结核等高危人群的筛查以及发现和辨别病灶方面优于DR检查,可满足临床影像诊断的要求,有助于患者尽早明确诊断,尽早采取治疗措施。Objective To explore the clinical diagnostic value of DR and CT imaging in pulmonary tuberculosis complicated with lung cancer.Methods 150 cases of pulmonary tuberculosis complicated with lung cancer were selected,and two methods of DR and CT were used to examine and analyze the number of nodules detected and the pathological classification of lung cancer.Results The total number of nodules with CT were 38.00%,which was obviously higher than 20.67% with DR,P 0.01.The number of nodules less than 5 cm with CT were 18.67%,which was obviously higher than 5.33% with DR,P 0.01.the detection rate of airway lesion with CT was 24.00%,which was significantly higher than 7.30% with DR,（ P 0.01）;the detection rate of bronchial lesions with CT was 38.7%,which was significantly higher than 22.7% with DR,（ P 0.05）; the detection rate of mediastinal lymph node enlargement with CT was 26.00%,which was significantly higher than 1.33% with DR,（ P 0.05）.Conclusion CT scan in the screening,detection and identification of lung cancer,tuberculosis and lesions is superior to DR,which can meet the requirements of clinical imaging diagnosis,and contributes to early diagnosis and timely measurement.

关 键 词：CT DR 肺结核合并肺癌 诊断价值 

分 类 号：R734.2[医药卫生—肿瘤]