周围型肺腺癌病理分化程度与CT磨玻璃结节的相关性研究  

Correlation between pathological differentiation and CT ground-glass nodule in peripheral lung adenocarcinomas

作　　者：程辉[1] 张雪梅[1] 梁书增[1] 韩旭 丁峰[1] 张琮琮[1] 张全进[1] CHENG Hui;ZHANG Xuemei;LIANG Shuzeng;HAN Xu;DING Feng;ZHANG Congcong;ZHANG Quanjin(Department of Thoracic Surgery,Huaibei People’s Hospital,Huaibei,Anhui Province 235000,China)

机构地区：[1]淮北市人民医院胸外科,安徽淮北235000

出　　处：《实用放射学杂志》2023年第10期1593-1596,共4页Journal of Practical Radiology

摘　　要：目的探讨周围型肺腺癌病理分化程度与CT磨玻璃结节(GGN)的相关性。方法回顾性分析120例肺腺癌患者的临床和CT资料,按病理分化程度分为低分化组和中高分化组,比较2组GGN特点。结果120例周围型肺腺癌患者中,低分化组48例,中高分化组72例。2组GGN大小、形态、边界、边缘、内部结构、外部结构均存在显著差异(P<0.01),但2组在分布部位及其他征象上无明显差异(P>0.05)。结论GGN的病灶大小、形态、边界、边缘及周围结构中的胸膜凹陷征,均与周围型肺腺癌患者病理分化程度相关,同时GGN可为周围型肺腺癌的临床诊断和预后判断提供参考。Objective To investigate the correlation between pathological differentiation and CT ground-glass nodule(GGN)in peripheral lung adenocarcinomas.Methods The clinical and CT data of 120 patients with lung adenocarcinoma were analyzed retrospectively.The patients were divided into poor differentiation group and moderate to high differentiation group according to the pathological differentiation degree.CT characteristics of GGN were compared between the two groups.Results There were 48 patients in the poor differentiation group and 72 patients in the moderate to high differentiation group,respectively.The size,shape,boundary,edge,internal structure and external structure of GGN were significantly different between the two groups(P<0.01).There were no significant differences in the location and other signs between the two groups(P>0.05).Conclusion The size,shape,boundary,edge and pleural indentation in surrounding structures of GGN are significantly correlated with pathological differentiation degree of peripheral lung adenocarcinomas.The results can be used for clinical diagnosis and prognosis of peripheral lung adenocarcinomas.

关 键 词：周围型肺腺癌 计算机体层成像 磨玻璃影 病理分化程度 

分 类 号：R734.2[医药卫生—肿瘤] R814.42[医药卫生—临床医学] R446.8