胸部CT检查在孤立性肺小结节诊断中的应用价值研究  

Diagnostic Value of Chest CT in Isolated Pulmonary Nodules

作　　者：何江 He Jiang(Weng'an County Hospital of Traditional Chinese Medicine,Qiannan,Guizhou Province,550400 China)

机构地区：[1]瓮安县中医医院,贵州黔南550400

出　　处：《中外医药研究》2024年第8期123-125,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析孤立性肺小结节应用胸部CT检查的诊断价值。方法:选取2022年3—12月瓮安县中医医院收治的80例疑似孤立性肺小结节患者作为研究对象,患者均进行胸部CT、X线片及手术病理检查。以手术病理检查结果为金标准,比较胸部CT、X线片检查的诊断效能。结果:病理检查结果显示,80例患者中65例检出孤立性肺小结节,其中X线片的检出准确率和灵敏度分别为73.75%(59/80)和72.30%(47/65),胸部CT的检出准确率和灵敏度分别为96.25%(77/80)和96.92%(63/65),两组比较差异有统计学意义(P<0.05)。病理检查结果显示,65例孤立性肺小结节患者中良性41例,恶性24例,其中X线片诊断孤立性肺小结节良恶性的准确率和灵敏度分别为81.54%(53/65)和65.85%(27/41),胸部CT诊断孤立性肺小结节良恶性的准确率和灵敏度分别为98.46%(64/65)和97.56%(40/41),两组比较差异有统计学意义(P<0.05)。结论:孤立性肺小结节诊断中,胸部CT检查的诊断效能较高。Objective:To analyze the diagnostic value of chest CT for isolated pulmonary nodules.Methods:Eighty patients with suspected isolated pulmonary nodules treated in Weng'an County Hospital of Traditional Chinese Medicine from March 2022 to December 2022 were selected as the study objects.All patients underwent chest CT,X-ray and surgical pathological examinations.The diagnostic efficiency of chest CT and X-ray examination was compared with the results of surgical pathology examination as gold standard.Results:Pathological examination showed that 65 out of 80 patients had isolated pulmonary nodules,among them,the detection accuracy and sensitivity of X-ray film were 73.75%(59/80)and 72.30%(47/65),and the detection accuracy and sensitivity of chest CT were 96.25%(77/80)and 96.92%(63/65),and the difference between the two groups was statistically significant(P<0.05);pathological examination showed that 41 cases were benign and 24 cases were malignant in 65 patients with isolated pulmonary nodules,the accuracy and sensitivity of X-ray in the diagnosis of benign and malignant solitary pulmonary nodules were 81.54%(53/65)and 65.85%(27/41),respectively,the accuracy and sensitivity of chest CT in the diagnosis of benign and malignant solitary pulmonary nodules were 98.46%(64/65)and 97.56%(40/41),and the difference between the two groups was statistically significant(P<0.05).Conclusion:In the diagnosis of isolated pulmonary nodules,chest CT is more effective.

关 键 词：孤立性肺小结节 胸部CT X线片 诊断效能 

分 类 号：R563[医药卫生—呼吸系统]