CT影像征象对非小细胞肺癌胸膜浸润的影响分析  

Analysis of the influence of CT imaging signs on pleural infiltration in non-small cell lung cancer

作　　者：杨浩[1] 曹阿丹[1] 武乐乐 胡舸帆 Yang Hao;Cao A-dan;Wu Le-le;Hu Ge-fan(Imaging Center,The Second Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000,Henan,China)

机构地区：[1]河南科技大学第二附属医院影像中心,河南洛阳471000

出　　处：《四川生理科学杂志》2024年第5期988-990,共3页Sichuan Journal of Physiological Sciences

摘　　要：目的:基于CT影像征象探究非小细胞肺癌胸膜浸润的影响因素。方法:回顾性分析2021年1月至2023年5月于我院就诊的78例非小细胞肺癌患者临床资料,其中发生脏层胸膜浸润者(n=40)为浸润组,未发生脏层胸膜浸润者(n=38)为无浸润组。采用多因素Logistic回归分析非小细胞肺癌胸膜浸润的影响因素。结果:两组患者的肿瘤部位、病理类型、分化程度情况均无明显差异(P>0.05),肿瘤直径、N分期、M分期差异具有统计学意义(P<0.05)。两组患者CT影像空泡/空洞征、支气管充气征、分叶征、毛刺征、血管集束征、及胸腔积液等征象均无明显差异(P>0.05),胸膜凹陷征、病灶紧贴胸壁情况差异具有统计学意义(P<0.05)。回归分析显示,肿瘤直径、N分期、M分期、胸膜凹陷征及病灶紧贴胸壁是NSCLC胸膜浸润的特征指标(P<0.05)。结论:部分CT征象与NSCLC胸膜转移具有相关性,肿瘤直径、N分期、M分期、胸膜凹陷征、病灶紧贴胸壁均为NSCLC患者胸膜浸润的特征指标。Objective:To explore the influencing factors of pleural infiltration in non-small cell lung cancer based on CT imaging signs.Methods:A retrospective analysis was conducted on the clinical data of 78 non-small cell lung cancer patients who visited our hospital from January 2021 to May 2023.Among them,patients with visceral pleural infiltration(n=40)were in the infiltration group,while those without visceral pleural infiltration(n=38)were in the non-infiltration group.The influencing factors of pleural infiltration in non-small cell lung cancer were investigated using multiple logistic regression analysis.Results:There was no significant difference in tumor location,pathological type,and differentiation degree between the two groups of patients(P>0.05).The differences in tumor diameter,N stage,and M stage were statistically significant(P<0.05).There was no significant difference(P>0.05)in CT imaging features such as vacuole/cavity sign,bronchial inflation sign,lobulation sign,hair prick sign,vascular bundle sign,and pleural effusion between the two groups of patients.The difference in pleural indentation sign and lesion adherence to the chest wall was statistically significant(P<0.05).Regression analysis showed that tumor diameter,N stage,M stage,pleural indentation sign,and lesion adherence to the chest wall were characteristic indicators of pleural infiltration in NSCLC(P<0.05).Conclusion:Some CT signs are correlated with pleural metastasis in NSCLC,and tumor diameter,N stage,M stage,pleural indentation sign,and lesion adherence to the chest wall are all characteristic indicators of pleural infiltration in NSCLC patients.

关 键 词：CT影像征象 非小细胞肺癌 胸膜浸润 影响因素 

分 类 号：R734.2[医药卫生—肿瘤]