胸部X线与多层螺旋CT单独及联合检查对中央型肺癌的诊断价值  

Diagnostic value of chest X-ray and multi-slice spiral CT single and combined examination for central lung cancer

作　　者：孙永胜 王浩 呼倩倩 徐敏涛 孙瑞 SUN Yongsheng;WANG Hao;HU Qianqian;XU Mintao;SUN Rui(Department of Imaging,Zhengzhou Yihe Hospital,Zhengzhou 450046,He’nan,China)

机构地区：[1]郑州颐和医院影像科,郑州4500460

出　　处：《癌症进展》2024年第10期1151-1154,共4页Oncology Progress

摘　　要：目的 探讨胸部X线与多层螺旋CT单独及联合检查对中央型肺癌的诊断价值。方法 135例疑似中央型肺癌患者均行胸部X线及多层螺旋CT检查,以病理检查结果为金标准,比较胸部X线和多层螺旋CT单独及联合检查诊断中央型肺癌的结果与病理检查结果的一致性以及对中央型肺癌的诊断价值,比较胸部X线和多层螺旋CT检查诊断中央型肺癌TNM分期结果与病理分期的符合率,比较不同病理类型中央型肺癌患者多层螺旋CT检查的图像特征。结果 病理检查结果显示,135例疑似中央型肺癌患者中,阳性96例,阴性39例。胸部X线和多层螺旋CT联合检查(Kappa=0.563)诊断中央型肺癌的结果与病理检查结果的一致性高于二者单独检查(Kappa=0.491、0.558)。胸部X线和多层螺旋CT联合检查诊断中央型肺癌的准确度、灵敏度、特异度、阳性预测值及阴性预测值均高于二者单独检查。以病理检查结果为金标准,多层螺旋CT和胸部X线检查诊断中央型肺癌Ⅰ、Ⅱ、Ⅲ期的符合率比较,差异均无统计学意义(P﹥0.05)。结论 胸部X线和多层螺旋CT联合检查对中央型肺癌患者的诊断价值较高。多层螺旋CT检查能区分和鉴别不同病理类型的中央型肺癌。Objective To explore the diagnostic value of chest X-ray and multi-slice spiral CT single and combined examination for central lung cancer.Method A total of 135 patients with suspected central lung cancer received chest X-ray and multi-slice spiral CT examination.Pathological examination results were used as the gold standard,the consisten-cy between the diagnostic results of chest X-ray and multi-slice spiral CT single and combined examination for central lung cancer and pathological examination results,as well as their diagnostic value for central lung cancer were compared.The coincidence rates between TNM stage of central lung cancer diagnosed by chest X-ray and multi-slice spiral CT sin-gle and combined examination and pathological stage were compared.The image features of multi-slice spiral CT exami-nation in different pathological types of central lung cancer patients were compared.Result Pathological examination re-sults showed that among 135 suspected central lung cancer patients,96 cases were positive and 39 cases were negative.The consistency between the diagnostic results of chest X-ray and multi-slice spiral CT combined examination(Kappa=0.563)for central lung cancer and pathological examination results were higher than those of single examination(Kappa=0.491,0.558).The accuracy,sensitivity,specificity,positive predictive value and negative predictive value of chest X-ray and multi-slice spiral CT combined examination in the diagnosis of central lung cancer were higher than those of single examination.Pathological examination results were used as the gold standard,there were no significant differences in the coincidence rate between multi-slice spiral CT and chest X-ray examinations in the diagnosis of central lung cancer stage I,II and III(P>0.05).Conclusion The combined examination of chest X-ray and multi-slice spiral CT examination has high diagnostic value for patients with central lung cancer.Multi-slice spiral CT examination can distinguish and differen-tiate different pathological types of cen

关 键 词：胸部X线 多层螺旋CT 中央型肺癌 诊断价值 

分 类 号：R734.2[医药卫生—肿瘤]