多层螺旋CT在肺内孤立性结节诊断及鉴别诊断中的效果评价  

Evaluation of the Effect of Multi-slice Spiral CT in the Diagnosis and Differential Diagnosis of Solitary Pulmonary Nodules

作　　者：付华东 FU Hua-dong(Department of Radiology,Liaocheng Fourth People's Hospital,Liaocheng,Shandong Province,252000,China)

机构地区：[1]聊城市第四人民医院影像科

出　　处：《世界复合医学》2019年第11期4-6,共3页World Journal of Complex Medicine

摘　　要：目的探讨多层螺旋CT在肺内孤立性结节诊断及鉴别诊断中的效果评价。方法选择从该院2018年1-12月收治的100例肺内孤立性结节患者为对象,均接受多层螺旋CT检查方法,并以临床病理结果作为"金标准",以作比较分析。结果多层螺旋CT的肺内孤立性结节检出率达100.00%(100/100),包括良性肺内孤立性结节检出66例,恶性肺内孤立性结节检出34例;良性肺内孤立性结节检出率为96.97%(64/66),恶性肺内孤立性结节检出率为94.12%(32/34)。良性肺内孤立性结节与恶性肺内孤立性结节的结节大小比较,差异有统计学意义(t=8.220,P<0.05);良性肺内孤立性结节与恶性肺内孤立性结节的影像学特征比较,差异有统计学意义(χ~2=23.909、25.115、17.034、53.673,P<0.05)。结论在肺内孤立性结节诊断及鉴别诊断中应用多层螺旋CT的效果显著。Objective To evaluate the effect of multi-slice spiral CT in the diagnosis and differential diagnosis of solitary pulmonary nodules. Methods From January to December 2018, 100 patients with solitary pulmonary nodules in the hospital were examined by multi-slice spiral CT, and the clinicopathological results were taken as the "gold standard" for comparative analysis. Results The de-tection rate of pulmonary solitary nodules in multi-slice spiral CT was 100.00%(100/100), including 66 cases of benign solitary pul-monary nodules and 34 cases of malignant solitary pulmonary nodules, the positive rate of benign solitary pulmonary nodules was96.97%(64/66), and that of malignant solitary pulmonary nodules was 94.12%(32/34).There was significant difference in the size of benign solitary pulmonary nodules and malignant solitary pulmonary nodules(t =8.220, P <0.05).There was significant difference in imaging features between benign solitary pulmonary nodules and malignant solitary pulmonary nodules( χ~2=23.909, 25.115,17.034,53.673, P<0.05). Conclusion Multi-slice spiral CT is effective in the diagnosis and differential diagnosis of solitary pulmonary nodules.

关 键 词：多层螺旋CT 肺内孤立性结节 诊断 鉴别诊断 效果 

分 类 号：R563[医药卫生—呼吸系统] R734.2[医药卫生—内科学]