多层螺旋CT对囊腔类肺癌的诊断价值及影像征象分析  

The diagnostic value and imaging features analysis of multi-slice spiral CT in cystic lung cancer

作　　者：高升 王潇雪 GAO Sheng;WANG Xiaoxue(Department of Imaging,Linyi Central Hospital,Linyi,Shandong 276400,China)

机构地区：[1]临沂市中心医院影像科,山东临沂276400

出　　处：《影像研究与医学应用》2025年第1期36-38,共3页Journal of Imaging Research and Medical Applications

摘　　要：目的:分析多层螺旋CT(MSCT)对囊腔类肺癌和非囊腔类肺癌的鉴别诊断价值与影像征象。方法:选取2021年9月—2023年9月临沂市中心医院收治的疑似囊腔类肺癌患者80例,均实施MSCT检查,以病理结果为金标准,分析MSCT对囊腔类肺癌的诊断效能,比较囊腔类和非囊腔类肺癌的影像特征。结果:MSCT诊断囊腔类肺癌的准确率为96.25%、灵敏度为95.35%、特异度为97.30%。囊腔类肺癌与非囊腔类肺癌患者在病变位置、病灶的最大直径、囊腔数目、混合磨玻璃、实性结节、囊壁均匀度、实体组分大小、病变非囊腔局部CT值方面的差异均有统计学意义(P<0.05)。结论:MSCT对囊腔类肺癌有较高的诊断价值,可指导临床后续治疗,但仍应结合患者实际进行选择。Objective To analyze the differential value and imaging features of multi-slice spiral CT(MSCT)in cystic lung cancer and non-cystic lung cancer.Methods A total of 80 patients with suspected cystic lung cancer admitted to Linyi Central Hospital from September 2021 to September 2023 were selected for MSCT examination.The diagnostic efficacy of MSCT in cystic lung cancer was analyzed with pathological results as the gold standard,and the images of cystic and non-cystic lung cancer were compared.Results The accuracy,sensitivity and specificity of MSCT in the diagnosis of cystic lung cancer were 96.25%,95.35%and 97.30%.There were significant differences in lesion location,maximum diameter of lesions,number of cystic cavities,mixed ground glass,solid nodules,uniformity of cyst wall,size of solid components,and local CT values of non-cystic lesions between patients with cystic lung cancer and non-cystic lung cancer(P<0.05).Conclusion MSCT is of high diagnostic value in cystic lung cancer and can be used to guide clinical follow-up treatment,but clinical selection should still be based on the actual situation of patients.

关 键 词：多层螺旋CT 囊腔类肺癌 非囊腔类肺癌 影像征象 诊断效能 

分 类 号：R445.3[医药卫生—影像医学与核医学]