SMCT探讨肺磨玻璃结节与支气管的关系及病理对照  

SMCT Study on the Relationship between Pulmonary Glass Nodules and Bronchus and Pathological Comparison

作　　者：刘群星[1] 郭建[1] 田路[1] 付林[1] LIU Qun-xing;GUO Jian;TIAN Lu;FU Lin(CT Room,Heze Municipal Hospital,Shandong Heze 274000)

机构地区：[1]山东省菏泽市立医院CT室,山东菏泽274000

出　　处：《中国医疗器械信息》2018年第6期5-7,共3页China Medical Device Information

摘　　要：目的:研究肺磨玻璃结节(ground glass nodule,GGN)与相关支气管的关系及其分型,并探讨其影像学价值。方法:采用256层螺旋HRCT对87例患者共91枚GGN的HRCT影像资料进行回顾性分析(其中4例患者肺内同时存在2枚GGN)。以病理结果将其分为浸润性腺癌结节组(A组)、浸润前病变结节组(B组)及良性结节组(C组),根据结节与其相关支气管的关系分为:Ⅰ型:支气管在GGN内中断,Ⅱ型:支气管在GGN内扭曲、扩张,Ⅲ型:支气管在GGN内走形正常,Ⅳ型:支气管未进入病灶,在GGN旁绕行。采用SPSS20.0统计学软件进行统计分析,研究不同类型的GGN与支气管形态的关系,并进行病理对照。结果:87例患者的91枚GGN中,病理证实A组病灶35枚、B组病灶39枚、C组病灶17枚。Ⅰ-Ⅳ型分别为22、17、16和7枚;A组、B组、C组中Ⅰ型支气管例数分别为20、2和0,A组、B组、C组中Ⅱ型支气管例数分别为9、7和1,A组、B组、C组中Ⅲ型支气管例数分别为3、7和6,A组、B组、C组中Ⅳ型支气管例数分别为0、5和2。不同性质的GGN相关支气管类型存在的差异,有明显的统计学意义(R<0.01)。结论:不同性质的GGN与相关支气管的伴随关系不同,对术前GGN性质诊断有一定的帮助。Objective:To study the relationship and classification of ground glass nodule(GGN)with related bronchus,and to explore its imaging value.Methods:The HRCT images of 87 patients with 91 GGN were retrospectively analyzed with 256 slice spiral HRCT(4 cases with 2 GGN in the lung).The pathological results will be divided into invasive adenocarcinoma nodule group(A group),preinvasive lesions nodule group(B group)and benign group(group C),according to the association related bronchial is divided into:type I:bronchial disruption in GGN type II:bronchial distortion,in the GGN expansion Zhang,type III:normal,bronchial shape within the GGN type did not enter the bronchial lesion bypass near GGN.SPSS20.0 statistical software was used for statistical analysis to study the relationship between different types of GGN and bronchial morphology and to make a pathological comparison.Results:In 91 GGN of 87 patients,pathology confirmed that there were 35 lesions in group A,39 in group B,and 17 in group C.I-IV were 22,17,16 and 7;A group,B group,C group,bronchial type cases were 20,2 and 0,A group,B group and C group in bronchial type II cases were 9,7 and 1,A group and B group type III,C group in bronchial cases were 3,7 and 6,A group,B group,C group of type IV bronchial cases were 0,5 and 2.The differences in GGN related bronchial types of different properties have significant statistical significance(R<0.01).Conclusion:The concomitant relationship between the GGN and the related bronchus is different,and it is helpful for the diagnosis of GGN before operation.

关 键 词：磨玻璃结节 支气管 MSCT 腺癌 诊断 

分 类 号：R734.2[医药卫生—肿瘤]