肺结核与肺癌空洞采用多层螺旋CT鉴别诊断临床效果分析  

The Clinical Effectiveness of Using Multi-Slice Spiral CT for Differential Diagnosis of Pulmonary Tuberculosis and Lung Cancer Cavities

作　　者：王财鑫 林川 WANG Cai-xin;LIN Chuan(Radiological Department,Longyan People’s Hospital,Fujian Longyan 364000)

机构地区：[1]龙岩人民医院放射科,福建龙岩364000

出　　处：《中国医疗器械信息》2024年第22期17-19,共3页China Medical Device Information

摘　　要：目的:对肺结核与肺癌空洞采用多层螺旋CT鉴别诊断临床效果情况进行深入研究。方法:本研究择取本院确诊患有肺结核以及肺癌疾病的93例患者作为对象,所有患者均采取多层螺旋CT肺部扫描检查,肺结核空洞情况的患者为肺结核组(n=57),肺癌空洞情况的患者为肺癌组(n=36)。对两组患者的空洞病灶位置、性质、周围组织特征以及大小等情况进行对比。结果:肺结核组患者的上叶空洞所占的比例比肺癌组患者更高,肺结核组患者的下叶空洞的所占比例比肺癌组患者更低,两组数据比较差异显著(P<0.05);两组患者的中叶/舌叶空洞占比对比数据差异不显著(P>0.05)。肺癌组患者的空洞长径比肺结核组患者更长,患者的厚壁空洞数比肺结核组患者更高,两组数据比较差异显著(P<0.05)。肺结核组患者的钙化出现率比肺癌组患者更高,肺癌组患者的结节、短毛刺以及分叶的出现概率比肺结核组患者更高,两组数据比较差异显著(P<0.05)。肺结核组患者的周围组织炎症、周围卫星灶以及淋巴结钙化的出现概率比肺癌组中患者更高,两组数据比较差异显著(P<0.05),两组内患者的胸膜粘连出现概率对比数据差异不显著(P>0.05)。肺结核组患者的Ⅲ型所占比例比肺癌组患者更高,患者的Ⅳ型所占比例比肺癌组患者更低,两组数据比较差异显著(P<0.05),两组内患者的Ⅰ型以及Ⅱ型的所占比例对比数据差异不显著(P>0.05)。结果:采取多层螺旋CT检查方式对肺结核以及肺癌疾病的空洞在病灶性质、大小、周围组织层面、部位以及形态等在内的特性当中有着极为显著的差异,能有效鉴别诊断肺部空洞患者的来源。Objective:To conduct in-depth research on the clinical effectiveness of using multi-slice spiral CT for differential diagnosis of pulmonary tuberculosis and lung cancer cavities.Methods:This study selected 93 patients diagnosed with pulmonary tuberculosis and lung cancer in our hospital as the subjects.All patients underwent multi-slice spiral CT examination.The patients with pulmonary tuberculosis cavity were in the pulmonary tuberculosis group(n=57),while the patients with lung cancer cavity were in the lung cancer group(n=36).Compare the location,nature,surrounding tissue characteristics,and size of cavity lesions between the two groups of patients.Results:The proportion of upper lobe voids in patients with pulmonary tuberculosis was higher than that in patients with lung cancer,while the proportion of lower lobe voids in patients with pulmonary tuberculosis was lower than that in patients with lung cancer.After comparing the data between the two groups,the difference was significant(P<0.05);There was no significant difference in the proportion of middle lobe/lingual cavity between the two groups of patients(P>0.05).The length and diameter of cavities in the lung cancer group were longer than those in the tuberculosis group,and the number of thick walled cavities in patients was higher than that in the tuberculosis group.After comparing the data between the two groups,the difference was significant(P<0.05).The incidence of calcification in patients with pulmonary tuberculosis was higher than that in patients with lung cancer.The probability of nodules,burrs,and lobulation in patients with lung cancer was higher than that in patients with pulmonary tuberculosis.After comparing the data between the two groups,the difference was significant(P<0.05).The probability of peripheral tissue inflammation,satellite lesions,and lymph node calcification in patients with pulmonary tuberculosis was higher than that in patients with lung cancer.After comparing the data between the two groups,there was a significant difference

关 键 词：肺结核 肺癌空洞 多层螺旋CT 鉴别 诊断 

分 类 号：R445.2[医药卫生—影像医学与核医学]