多层螺旋CT在单发性肺结核空洞和肺癌空洞中的应用价值  

Application Value of Multi-slice Spiral CT in Solitary Pulmonary Tuberculosis Cavity and Lung Cancer Cavity

作　　者：韩东梅 来守永[2] 李莉 顾勐 HAN Dongmei;LAI Shouyong;LI Li;GU Meng(Beijing Center for Disease Control and Prevention,Beijing 100035,China;不详)

机构地区：[1]北京市疾病预防控制中心,北京100035 [2]首都医科大学附属北京胸科医院

出　　处：《中外医学研究》2023年第9期60-64,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨多层螺旋CT在单发性肺结核空洞和肺癌空洞中的应用价值。方法:回顾性选取2021年2月—2022年5月首都医科大学附属北京胸科医院收治的120例单发性肺结核空洞和肺癌空洞患者。根据诊断结果将其分为对照组(49例,单发性肺结核空洞)和观察组(71例,单发性肺癌空洞)。两组均接受多层螺旋CT检查。对比两组CT影像学特征、邻近组织变化特点、空洞位置、空洞直径及洞壁厚度,分析典型病例图。结果:对照组周围卫星灶、短毛刺、薄壁空洞、钙化占比均高于观察组,厚壁空洞、壁结节、胸膜凹陷、分叶占比均低于观察组,差异有统计学意义(P<0.05)。对照组的周围组织炎症、纵隔淋巴结钙化、纵隔淋巴结肿大的占比均高于观察组,差异均有统计学意义(P<0.05)。对照组左肺上叶/舌段占比低于观察组,左肺下叶背段占比高于观察组,差异有统计学意义(P<0.05)。观察组空洞直径及洞壁厚度均大于对照组,差异有统计学意义(P<0.05)。结论:多层螺旋CT可以较为精准地提供单发性肺结核空洞及肺癌空洞的影像学图像,可以良好地反映空洞病变的位置,体积,邻近组织变化特点等信息,对两种病变的鉴别诊断提供有效的帮助。Objective:To investigate the application value of multi-slice spiral CT in solitary pulmonary tuberculosis cavity and lung cancer cavity.Method:A total of 120 patients with solitary pulmonary tuberculosis cavity and lung cancer cavity in Beijing Chest Hospital Affiliated to Capital Medical University from February 2021 to May 2022 were retrospectively selected.According to the diagnosis results,they were divided into the control group(49 cases,solitary pulmonary tuberculosis cavity)and the observation group(71 cases,solitary lung cancer cavity).Both groups underwent multi-slice spiral CT examination.The CT imaging features,adjacent tissue changes characteristic,cavity location,cavity diameter and cavity wall thickness were compared between the two groups,some pictures of representative cases were analyzed.Result:The proportions of surrounding satellite focus,short burr,thin-walled cavity and calcification in the control group were higher than those in the observation group,and the proportions of thick-walled cavity,wall nodule,pleural depression and lobulation were lower than those in the observation group,and the differences were statistically significant(P<0.05).The proportions of peripheral tissue inflammation,mediastinal lymph node calcification,mediastinal lymph node enlargement in the control group were higher than those in the observation group,the differences were statistically significant(P<0.05).The proportion of left lung upper lobe/tongue segment in the control group was lower than that in the observation group,and the proportion of left lung dorsal segment of lower lobe was higher than that in the observation group,and the differences were statistically significant(P<0.05).The cavity diameter and cavity wall thickness of the observation group were greater than those of the control group,and the differences were statistically significant(P<0.05).Conclusion:Multi-slice spiral CT can accurately provide imaging images of solitary pulmonary tuberculosis cavity and lung cancer cavity,and can well reflect t

关 键 词：多层螺旋CT 单发性结核空洞 单发性肺癌空洞 病理改变 医学影像学 周围卫星灶 

分 类 号：R734.2[医药卫生—肿瘤] R521[医药卫生—临床医学]