多层螺旋CT图像特征在鉴别局灶性机化性肺炎与周围型肺癌中的临床价值  

The Clinical Value of Multislice Spiral CT Image Features in Differentiating Localized Organized Pneumonia from Peripheral Lung Cancer

作　　者：白勇 Bai Yong(West China University Hospital,Chengdu Sichuan 610039,China)

机构地区：[1]西华大学医院,四川成都610039

出　　处：《生命科学仪器》2024年第1期7-9,共3页Life Science Instruments

摘　　要：目的探讨分析多层螺旋CT图像特征在鉴别局灶性机化性肺炎(FOP)与周围型肺癌(PLC)中的临床价值。方法以2021年7月-2023年6月医院收治的56例PLC患者(PLC组)及56例FOP患者(FOP组)为研究对象,均接受多层螺旋CT检查。比较两组图像特征及增强前后CT值。结果两组病灶部位、分布特点、与胸膜关系、毛刺、支气管充气征、管集束征、空洞、钙化及胸膜凹陷特征比较,差异有统计学意义(P<0.05);两组病灶形状、与肺组织分界、晕征、空泡征、液化及坏死、局部胸膜增厚、纵隔淋巴结肿大特征比较,差异无统计学意义(P>0.05);PLC组动脉期CT增加值及总增加CT值低于FOP组(P<0.05),两组平扫CT值及静脉期CT增加值比较无差别(P>0.05)。结论多层螺旋CT鉴别FOP与PLC的效果显著,两者的影像学表现存在显著差异性,可为医师准确鉴定患者病情,继而拟定针对性治疗方案提供参考,对患者预后改善也具有重要意义,值得推广。Objective:To analyze the effect of multi-layer spiral CT images in identifying focal organic pneumonia(FOP)from peripheral lung cancer(PLC).Methods:56 PLC patients(PLC group)and 56 FOP patients(FOP group)admitted from July 2022 to September 2023 will undergo multilayer spiral CT to compare the image characteristics and the CT values before and after enhancement.Results:The differences in lesion location,distribution characteristics,pleural,burr,bronchial inflation,tube collection,cavity,calcification,and pleural depression between the two groups(P<0.05),while shape,demarcation with lung tissue,halo features,air bubbles,liquefaction and necrosis,local pleural thickening,and mediastinal lymph node enlargement(P>0.05),and the total CT value in the PLC group were lower than that in the FOP group(P<0.05),and the CT value between the two groups(P>0.05).Conclusion:The multilayer spiral CT has a significant effect in identifying FOP and PLC,and there are significant differences in the two imaging manifestations.It can accurately identify the patients'condition for doctors and then formulate targeted treatment plan,which is of great significance to improve the prognosis of patients and is worth popularizing.

关 键 词：多层螺旋CT 图像特征 局灶性机化性肺炎 周围型肺癌 鉴别诊断 

分 类 号：R734.2[医药卫生—肿瘤]