胸膜孤立性病变的鉴别诊断  

Differential diagnosis of isolated pleural lesions

作　　者：张勤勇[1] 秦俭[1] 黄羿航 黄宝芹[1] 陈小贤[1] 周小燕[2] 陆合明[1] ZHANG Qin-yong;QIN Jian;HUANG Yi-hang(Department of CT, Center of Clinical Oncology, the People's Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,Guangxi Province, China)

机构地区：[1]广西壮族自治区人民医院肿瘤中心CT室,广西南宁530021 [2]广西壮族自治区人民医院放射科,广西南宁530021

出　　处：《中国CT和MRI杂志》2019年第7期63-66,共4页Chinese Journal of CT and MRI

基　　金：广西卫生厅自筹课题资助项目(Z20180706);广西科技计划项目(桂科AB17195005)

摘　　要：目的探讨无恶性肿瘤史患者胸膜孤立性病变(PSL)的诊断和鉴别诊断。方法收集89例无恶性肿瘤史患者PSL的资料,分析病理和影像特征的相关性,探讨此类病灶定性诊断的可能。采用χ^2检验进行统计学分析。结果 89例PSL中转移性病变10例,非转移恶性病变13例,良性病变66例。不同病理类型PSL与病灶大小的相关性,有统计学差异,P<0.05;与其余影像特征的相关性,无统计学差异,P>0.05。转移性病变、非转移恶性病变及良性病变三组不同类型PSL与病灶的形态特征、边缘是否清晰、是否伴有胸水、冰冻症、病灶内部是否坏死及大小等影像学特征的相关性,有统计学差异,P<0.05。结论 PSL的形态特征、边缘是否清晰、是否伴有胸水、冰冻症、病灶内部是否坏死及大小等影像特征,可以作为PSL定性诊断的依据。Objective To investigate the diagnosis and differential diagnosis of pleural solitary lesions(PSL) in patients without history of malignant tumor. Methods Collect information from 89 PSL patients with no history of malignant tumors. Through the analysis of pathological types of malignant tumors and CT imaging features to explore the possibility of qualitative diagnosis of such lesions. Chi-square for statistical analysis. Results There were 10 cases of metastatic lesions group, 13 cases of no-metastatic lesions group, and 66 cases of benign lesions group in 87 cases of PSL. The difference of correlation between PSL of different pathological types and the size of lesions was statistically significant, P<0.05. There was no significant correlation with the other CT imaging feature, P>0.05. There are statistically difference in the relationship between different types of PSL in metastatic lesions group, no-metastatic lesions group, and benign lesions group, the morphological characteristics of the PSL, whether the edges are clear, whether they are accompanied pleural water, freezing, internal necrosis, and size of the lesions, P<0.05. Conclusion The morphological characteristics of the PSL, whether the edges are clear, whether they are accompanied pleural water, freezing, internal necrosis, and size of the lesions can be used as the basis for the identification of the qualitative diagnosis.

关 键 词：无恶性肿瘤史 计算机成像 胸膜孤立性病变 

分 类 号：R561[医药卫生—呼吸系统] R322.36[医药卫生—内科学]