256排螺旋CT仪在肺孤立性小结节良恶性鉴别中的应用价值  

Application Value of 256-slice Spiral CT in the Differentiation of Benign and Malignant Isolated Pulmonary Nodules

作　　者：霍现洛 何兵 张琪 薛小花 Huo Xian-luo;He Bing;Zhang Qi;Xue Xiao-hua(Department of Radiology,Zibo First Hospital,Zibo 255200,Shandong Province,China;Department of Pathology,Zibo First Hospital,Zibo 255200,Shandong Province,China;Department of Geriatrics,Zibo First Hospital,Zibo 255200,Shandong Province,China)

机构地区：[1]淄博市第一医院放射科,山东淄博255200 [2]淄博市第一医院病理科,山东淄博255200 [3]淄博市第一医院老年医学科,山东淄博255200

出　　处：《中外医药研究》2022年第12期153-155,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

基　　金：早期肺癌预警:肺内孤立性纯磨玻璃结节周边支气管征象研究(编号:2021YJKY019);人工智能、CT放射组学在边缘光滑孤立肺结节辅助诊断良恶性中的技术研究(编号:2021YJKY001)。

摘　　要：目的:分析256排螺旋CT仪在肺孤立性小结节(SPN)良恶性鉴别中的应用价值。方法:选取2017年1月-2021年6月淄博市第一医院收治的SPN患者104例为观察对象,根据病理诊断学分为良性病变组(n=74)与恶性病变组(n=30)。采取256排螺旋CT仪检查,比较良性病变与恶性病变组间的256排螺旋CT影像学特征。结果:良性结节组患者实性结节、结节大小1~2cm、无内部钙化、无毛刺征、无分叶征、肿瘤界面清晰、无胸膜凹陷征、无血管集束征占比高于恶性结节组,差异有统计学意义(P<0.05)。结论:肺SPN良恶性病变患者的256排螺旋CT检查结果存显著差异,利于医生对肺SPN患者的具体病情进行有效鉴别诊断,以便制定更有针对性的临床治疗方案。Objective:To analyze the application value of 256-slice spiral CT in the differentiation of benign and malignant isolated pulmonary nodules(SPNS).Methods:A total of 104 patients with SPN admitted to the Zibo First Hospital from January 2017 to June 2021 were selected as the observation objects.According to pathological diagnosis,they were divided into benign lesion group(n=74)and malignant lesion group(n=30).A 256-slice spiral CT scan was performed to compare the imaging features of benign and malignant lesions.Results:The proportion of solid nodules,nodules 1~2cm in size,no internal calcification,no burr sign,no foliation sign,clear tumor interface,no pleural sag sign,and no vascular cluster in benign nodules group was higher than that in malignant nodules group,and the difference was statistically significant(P<0.05).Conclusion:The 256-slice spiral CT results of patients with benign and malignant pulmonary SPN lesions are significantly different,which is helpful for doctors to effectively differentiate and diagnose the specific conditions of patients with pulmonary SPN,so as to develop more targeted clinical treatment plans.

关 键 词：256排螺旋CT 肺孤立性小结节 病理检查 

分 类 号：R73[医药卫生—肿瘤]