[1]徐双武,王海燕.多层螺旋CT增强扫描鉴别肺癌的价值[J].医学信息,2019,32(22):168-169,174.[doi:10.3969/j.issn.1006-1959.2019.22.059]
　XU Shuang-wu,WANG Hai-yan.Multi-slice Spiral CT Enhanced Scan for the Value of Lung Cancer[J].Journal of Medical Information,2019,32(22):168-169,174.[doi:10.3969/j.issn.1006-1959.2019.22.059]
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多层螺旋CT增强扫描鉴别肺癌的价值()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年22期
页码:
168-169,174
栏目:
诊疗技术
出版日期:
2019-11-15

文章信息/Info

Title:
Multi-slice Spiral CT Enhanced Scan for the Value of Lung Cancer
文章编号:
1006-1959（2019）22-0168-03
作者:
徐双武; 王海燕
（佳木斯市中心医院CT室，黑龙江 佳木斯 154002）
Author(s):
XU Shuang-wu; WANG Hai-yan
(CT Room,Jiamusi Central Hospital,Jiamusi 154002,Heilongjiang,China)
关键词:
肺癌; 多层螺旋CT; 鉴别诊断; 增强扫描
Keywords:
Lung cancer; Multi-slice spiral CT; Differential diagnosis; Enhanced scan
分类号:
R734.2
DOI:
10.3969/j.issn.1006-1959.2019.22.059
文献标志码:
A
摘要:
目的 探讨多层螺旋CT增强扫描在肺癌鉴别诊断的价值。方法 选取2017年12月~2018年12月我院收治的90例肺部占位疾病患者，均行多层螺旋CT平扫、增强扫描，比较不同病理类型肺内病灶的平扫/增强扫描的CT值及强化增值、不同肺癌病理类型CT净增强值，及多层螺旋CT平扫、增强扫描诊断肺癌的准确性、敏感性及特异性。结果 肺癌、肺结核球、炎性假瘤平扫CT值比较，差异无统计意义（P＞0.05）；肺癌增强扫描CT值高于肺结核球，低于炎性假瘤，差异有统计学意义（P＜0.05）；肺癌强化增值高于肺结核球，低于炎性假瘤（P＜0.05）。鳞癌CT净增强值高于腺癌、小细胞癌，差异有统计学意义（P＜0.05）；腺癌CT净增强值高于小细胞癌，差异有统计学意义（P＜0.05）。增强扫描诊断肺癌的准确性为88.89%、敏感性为92.31%、特异性为84.21%，均高于平扫的67.78%、69.23%、65.79%，差异有统计学意义（P＜0.05）。结论 多层螺旋CT增强扫描可以帮助鉴别肺部占位疾病及不同病理类型肺癌，且诊断的准确性、敏感性及特异性均较高。
Abstract:
Objective To investigate the value of multi-slice spiral CT enhanced scan in differential diagnosis of lung cancer. Methods A total of 90 patients with pulmonary space disease admitted to our hospital from December 2017 to December 2018 were enrolled in this study. All patients underwent multi-slice spiral CT scan and enhanced scan to compare the plain/enhanced scans of different pathological types of lung lesions. CT value and enhanced value-added, CT enhancement of different lung cancer pathological types, and accuracy, sensitivity and specificity of multi-slice spiral CT plain scan and enhanced scan for diagnosis of lung cancer. Results There was no statistically significant difference in the CT values of lung cancer, tuberculoma, and inflammatory pseudotumor (P>0.05). The CT value of lung cancer enhanced scan was higher than that of tuberculosis, which was lower than that of inflammatory pseudotumor,the difference was statistically significant (P<0.05); the enhanced value of lung cancer was higher than that of tuberculosis, which was lower than that of inflammatory pseudotumor (P<0.05). The net enhancement of CT in squamous cell carcinoma was higher than that in adenocarcinoma and small cell carcinoma,the difference was statistically significant (P<0.05); the net enhancement of CT in adenocarcinoma was higher than that in small cell carcinoma,the difference was statistically significant (P<0.05). The accuracy of enhanced scan for diagnosis of lung cancer was 88.89%, sensitivity was 92.31%, and specificity was 84.21%, which were higher than 67.78%, 69.23%, and 65.79% of the plain scan,the difference was statistically significant (P<0.05). Conclusion Multi-slice spiral CT enhanced scan can help identify lung occupying diseases and different pathological types of lung cancer, and the accuracy, sensitivity and specificity of diagnosis are high.

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更新日期/Last Update: 2019-11-15