肺底病变与腹部疾病定性诊断的相关性研究  

Study on correlation between pulmonary floor disease and qualitative diagnosis of abdominal diseases

作　　者：高汉斌 谢永红 李向阳 黄铀新[4] Gao Hanbin;Xie Yonghong;Li Xiangyang(The People's Hospital of Anyuan County,Anyuan,Jiangxi 342100;The Women and Children Hospital of Anyuan County,Anyuan,Jiangxi 342100;The Traditional Chinese Medicine Hospital of Ganzhou City,Ganzhou,Jiangxi 341000)

机构地区：[1]安远县人民医院,江西安远342100 [2]安远县妇女儿童医院,江西安远342100 [3]赣州市中医院,江西赣州341000 [4]赣南医学院第一附属医院,江西赣州341000

出　　处：《基层医学论坛》2018年第34期4791-4792,共2页The Medical Forum

基　　金：赣州市指导性科技项目(GZ2017ZSF450)

摘　　要：目的探讨肺底病变与腹部疾病定性诊断的相关性。方法选取2015年5月—2018年5月在我院行CT检查的40例肺底和腹部同时存在病变患者,其中24例接受住院治疗。首先对40例患者CT影像学资料进行回顾性分析,其中A组仅分析腹部影像学资料,B组在A组基础上对肺底相关影像征象进行分析,结合临床表现、检验、超声、MRI、穿刺活检或手术后病理诊断结果,比较2组腹部疾病诊断的正确率。结果 40例肺底和腹部同时存在病变患者中包括恶性31例,良性9例。A组共计25例与综合分析诊断结果相符合,一致率62.50%;B组共计27例与综合分析诊断结果相符合,一致率67.50%。2组诊断一致率对比无明显差异(P>0.05)。结论分析肺底病变与腹部疾病相关CT影像学征象有利于医师准确判断患者腹部病变的实际病况,提高腹部疾病诊断结果的准确性,为后续临床治疗提供参考。Objective To explore the correlation between lung base lesions and qualitative diagnosis of abdominal diseases.Methods 40 patients with simultaneous lung fundus and abdominal lesions who underwent CT examination in our hospital from May 2015 to May 2018 were selected,of which 24 were hospitalized.First 40 cases of patients with CT imaging data were retrospectively analyzed,including analysis of abdominal imaging data,only group A group B on the basis of A set of related to the bottom of the lung imaging signs were analyzed,and combined with clinical manifestation,examination,ultrasound,magnetic resonance imaging(MRI),after biopsy or surgical pathology diagnosis standard for judging comprehensive analysis and comparison of A and B two groups of celiac disease diagnosis accuracy.Results there were 31 cases of malignancy and 9 cases of benign disease.A total of 25 cases in group A were consistent with the results of comprehensive analysis,with A consistency rate of 62.50%,while 27 cases in group B were consistent with the results of comprehensive analysis,with A consistency rate of 67.50%.There was no significant difference in diagnostic consistency between group A and the results of comprehensive analysis(P>0.05).There was no statistically significant difference between the diagnostic consistency rate of group B and the results of comprehensive analysis(P>0.05).There was no significant difference in the consistency rate between group A and group B(P>0.05).Conclusion The analysis of CT imaging features related to lung base lesions and abdominal diseases is helpful for physicians to accurately determine the actual conditions of abdominal lesions,improve the accuracy of the diagnostic results of abdominal diseases,provide reference for follow-up clinical treatment,and has obvious value in promotion and application.

关 键 词：肺底病变 CT征象 腹部疾病 定性诊断 相关性 

分 类 号：R563[医药卫生—呼吸系统] R57[医药卫生—内科学]