小细胞肺癌支气管受侵MSCT征象的临床价值  

Clinical role of multi-slice CT imaging in diagnosing bronchial invasion associated with small cell lung cancer

作　　者：汪涛 潘磊 刘敏 唐栋[1] 戚乐[1] 战悦福 陈建强[2] 吴冰洁 WANG Tao;PAN Lei;LIU Ming;TANG Dong;QI Le;ZHAN Yue-fu;CHEN Jian-qiang;WU Bing-jie(Department of Radiology,Hangzhou Normal University Affiliate Hospital,Hangzhou 310015;Department of Radiology,the People’s Hospital of Haikou,Haikou 570100;Pediatric Intensive Care Unit,the Children’s Hospital Affiliated with Zhejiang University School of Medicine,Hangzhou 310052,China)

机构地区：[1]杭州师范大学附属医院放射科,浙江杭州310015 [2]海口市人民医院放射科,海南海口570100 [3]浙江大学医学院附属儿童医院儿科重症监护病房,浙江杭州310052

出　　处：《健康研究》2019年第4期457-459,463,共4页Health Research

摘　　要：目的探讨小细胞肺癌(small cell lung cancer,SCLC)的支气管受侵多层螺旋CT(multi-slice spiral CT,MSCT)征象以及支气管狭窄程度的临床价值。方法通过MSCT分析SCLC支气管受侵征象,并对支气管狭窄程度进行分级。结果支气管受侵MSCT征象:气管狭窄征共计103支,支气管阻塞征共计27支。支气管狭窄程度分级:共有受侵支气管130支,支气管狭窄程度分级1~3级在SCLC侵犯的支气管中出现的概率(79.2%,103/130)高于支气管狭窄程度分级4级(20.8%,27/130),支气管狭窄程度分级2~3级在SCLC侵犯的支气管中出现的概率(56.9%,74/130)高于支气管狭窄程度分级1级(22.3%,29/130),差异均有统计学意义(P<0.05)。结论支气管受侵MSCT征象及狭窄程度分级可为小细胞肺癌的临床判断提供参考。Objective Objective To evaluate the clinical role of multi-slice CT(MSCT)imaging in the diagnosis of bronchial invasion and bronchoconstriction associated with small cell lung cancer(SCLC).Methods The signs of bronchial invasion associated with SCLC were analyzed by means of MSCT imaging and bronchoconstriction was graded.Results Signs of bronchial invasion as indicated by MSCT imaging included 103 branches of bronchial stenosis and 27 branches of bronchial obstruction.130 bronchi were found to have been invaded.The rate of cases of bronchial stenosis of grade 1,grade 2 and grade 3(79.2%,103/130)was higher than that of cases of bronchial stenosis of grade 4(20.8%,27/130).The rate of bronchial stenosis of grade 2 and grade 3(56.9%,74/130)in the bronchial invasion of SCLC was higher than that of bronchial stenosis of grade 1(22.3%,29/130).The differences were statistically significant(P<0.05).Conclusions MSCT imaging for assessing bronchial invasion and grading of bronchial stenosis can efficiently inform the process of diagnosis of SCLC.

关 键 词：小细胞肺癌 支气管受侵 多层螺旋CT 

分 类 号：R445.3[医药卫生—影像医学与核医学]