早期肺癌组织内支气管、血管CT异常影像与病理对照研究  

Comparative study between abnormal bronchial and vascular CT images and pathology of early lung cancer

作　　者：孙维斌[1] 康露 聂永红[1] SUN Weibin;KANG Lu;NIE Yonghong(Department of Medical Imaging,Guangyuan Central Hospital,Guangyuan 628017,China)

机构地区：[1]广元市中心医院医学影像科,四川广元628017

出　　处：《分子影像学杂志》2023年第3期518-521,共4页Journal of Molecular Imaging

基　　金：四川省医学会科研课题(Q1500893)。

摘　　要：目的探讨肺癌组织内支气管、血管CT异常影像在早期肺癌中的诊断价值,并与病理学进行对照分析。方法选取2019年10月~2021年12月本院收治的100例经病理诊断为早期肺癌患者为研究对象,患者住院期间均进行CT检查,分析CT资料并与病理学对照。结果患者CT征象包括空泡征15例(15.00%)、毛刺征13例(13.00%)、异常空气支气管征39例(39.00%)、肿瘤内血管改变33例(33.00%);100例早期肺癌患者中小细胞肺癌45例(45.00%)、鳞状细胞癌17例(17.00%)、腺癌29例(29.00%)、肺泡癌型9例(9.00%);上述各类型早期肺癌支气管、血管CT异常影像比较,鳞状细胞癌异常空气支气管征及腺癌中的肿瘤内血管改变征象高于其他类型(P<0.05)。结论早期肺癌临床表现缺乏特异性,但其CT影像具有特征性,与病理学类型密切相关,早期肺癌组织内支气管、血管CT异常影像可对早期肺癌的诊断提供价值。Objective To investigate the diagnostic value of abnormal bronchial and vascular CT images for early lung cancer,and compare them with pathology.Methods A total of 100 patients with pathologically confirmed early lung cancer who were admitted to the hospital from October 2019 to December 2021 were selected as the research subjects.All patients underwent CT examination during hospitalization.The CT data were analyzed and compared with pathology.Results There were 15 cases of vacuole sign(15.00%),13 cases of spicule sign(13.00%),39 cases of abnormal air bronchogram(39.00%)and 33 cases of intratumoral vascular changes(33.00%).Among the 100 patients with early lung cancer,there were 45 patients with small cell lung cancer(45.00%),17 patients with squamous cell carcinoma(17.00%),29 patients with adenocarcinoma(29.00%)and 9 patients with alveolar carcinoma(9.00%).The incidence of abnormal air bronchogram in squamous cell carcinoma and the incidence of intratumoral vascular changes in adenocarcinoma were significantly higher than those in the other types of early lung cancer(P<0.05).Conclusion Clinical manifestations of early lung cancer lack of specificity,but its CT images are characteristic,which is closely related to pathological types.Abnormal bronchial and vascular CT images are helpful for diagnosing early lung cancer.

关 键 词：早期肺癌 支气管CT影像 血管CT影像 病理对照 

分 类 号：R734.2[医药卫生—肿瘤]