联合开展数字X线摄影和CT检查对周围型肺癌的诊断效能分析  

Diagnostic Efficacy of Digital Radiography and CT Examination in Peripheral Lung Cancer

作　　者：田召 许洪永 张元飞 TIAN Zhao;XU Hongyong;ZHANG Yuanfei(Department of Imaging,Weishan County Traditional Chinese Medicine Hospital,Jining 277600,Shan-dong,China;Department of Imaging,Weishan County People's Hospital,Jining 277600,Shandong,China)

机构地区：[1]微山县中医院影像科,山东济宁277600 [2]微山县人民医院影像科,山东济宁277600

出　　处：《世界复合医学(中英文)》2024年第11期165-168,共4页World Journal of Complex Medicine

摘　　要：目的探讨联合开展数字X线摄影(digital radiography,DR)和计算机断层扫描(computed tomography,CT)检查在周围型肺癌(peripheral lung cancer,PLC)中的诊断效能。方法选取2021年1月—2023年11月微山县中医院收治的87例疑似PLC患者,均行DR、CT检查,并以手术病理为金标准,比较DR、CT单一及联合检查对PLC的诊断效能。结果87例疑似患者经手术病理确诊45例阳性,其中DR检出阳性40例,检出率为45.98%(40/87);CT检出阳性41例,检出率为47.13%(41/87);联合检查检出阳性44例,检出率为50.57%(44/87)。联合检查的准确度为96.55%(84/87),高于DR检查的85.06%(74/87)以及CT检查的86.21%(75/87),差异有统计学意义(χ^(2)=7.281,P<0.05)。结论DR、CT在PLC诊断中均具有价值,联合检查可提高诊断效能,便于早期精准治疗的开展。Objective To investigate the diagnostic efficacy of combined digital radiography(DR)and computed tomography(CT)in peripheral lung cancer(PLC).Methods A total of 87 patients with suspected PLC admitted to Weishan County Traditional Chinese Medicine Hospital from January 2021 to November 2023 were selected.All patients underwent DR and CT examinations.With surgical pathology as the gold standard,the diagnostic efficacy of DR,CT single and combined examinations for PLC was compared.Results A total of 45 were positive by surgical pathology of the 87 suspected patients.There were 40 positive cases detected by DR,with a detection rate of 45.98%(40/87).There were 41 positive cases detected by CT,and the detection rate was 47.13%(41/87).There were 44 positive cases detected by combined examination,and the detection rate was 50.57%(44/87).The accuracy of combined examination was 96.55%(84/87),which was higher than 85.06%(74/87)of DR examination and 86.21%(75/87)of CT examination,and the difference was statistically significant(χ^(2)=7.281,P<0.05).Conclusion DR and CT are both valuable in the diagnosis of PLC.Combined examination can improve the diagnostic efficiency and facilitate the development of early precision treatment.

关 键 词：周围型肺癌 数字X线摄影 计算机断层扫描 诊断效能 

分 类 号：R734.2[医药卫生—肿瘤]