恶性孤立性肺结节的危险因素研究  

Study on the Risk Factors of Malignant Solitary Pulmonary Nodules

作　　者：张也 Zhang Ye(Jiujiang First People’s Hospital Health Management Center,Jiujiang,Jiangxi,332000,China)

机构地区：[1]九江市第一人民医院健康管理中心,江西九江332000

出　　处：《黑龙江医学》2024年第23期2845-2847,共3页Heilongjiang Medical Journal

摘　　要：目的:分析恶性孤立性肺结节的危险因素。方法:采用整群分层抽样法选取2022年6月—2023年8月九江市第一人民医院健康管理中心检查确诊为孤立性肺结节的110例患者作为研究对象,根据孤立性肺结节的良恶性将其分为良性孤立性肺结节(对照组,55例)与恶性孤立性肺结节(实验组,55例),对所有研究对象的一般资料、肿瘤标志物、影像学特征(肺结节位置、密度、毛刺征、空泡征、钙化、血管集束症)进行统计分析,将差异有统计学意义的因素进行lo⁃gistic回归分析,统计恶性孤立性肺结节的危险因素。结果:logistic回归分析结果显示,肿瘤标志物、影像学特征均是恶性孤立性肺结节的危险因素。结论:恶性孤立性肺结节的危险因素主要包括肿瘤标志物以及影像学特征。在今后实际诊断过程中,应着重关注患者的肿瘤标志物水平以及影像学特征指标,为后续治疗提供依据。Objective:To analyze the risk factors of malignant isolated pulmonary nodules.Methods:A total of 110 patients with isolated pulmonary nodules diagnosed by the Health Management Center of Jiujiang First People’s Hospital from June 2022 to August 2023 were selected by cluster stratified sampling method as the study objects.They were classified into benign isolated lung nodules(control group,55 patients)and malignant solitary pulmonary nodules(experimental group,55 patients).General data,tumor markers,and imaging features(lung nodule location,density,burr,vacuole sign,calcification,and vascular cluster)of all sub⁃jects were statistically analyzed.Logistic regression analysis was performed to analyze the risk factors of malignant solitary pulmo⁃nary nodules.Results:Logistic regression analysis showed that tumor markers and imaging features were risk factors for malignant solitary pulmonary nodules.Conclusion:The risk factors of malignant isolated pulmonary nodules mainly include tumor markers and imaging features.Therefore,in the actual diagnosis process in the future,the level of tumor markers and the imaging features should be emphasized to provide a basis for subsequent treatment.

关 键 词：恶性孤立性肺结节 肿瘤标志物 影像学特征 危险因素 

分 类 号：R593.27[医药卫生—内科学]