摘要
目的:探索高分辨率CT对肺腺癌伴肺内转移的诊断价值。方法:选取2020年5月—2022年5月期间陆军第七十二集团军医院收治的106例疑似肺腺癌伴肺内转移患者为此次研究对象,均行高分辨率CT检查,根据患者是否出现肺内转移分为未伴肺内转移组(19例)与伴肺内转移组(87例),比较两组CT值。结果:肺腺癌未伴肺内转移病变者的30 s、90 s、180 s的CT值均显著低于伴肺内转移病变者(P<0.01)。经ROC曲线分析,30 s、90 s、180 s CT值及三项联合早期预测肺腺癌伴肺内转移的AUC分别为0.794、0.962、0.855、0.966。结论:在判定肺腺癌伴肺内转移时运用高分辨率CT检查,能够提高诊断正确率。
Objective To explore the diagnostic value of high-resolution CT in lung adenocarcinoma with intrapulmonary metastasis.Methods 106 patients with suspected lung adenocarcinoma and intrapulmonary metastasis were selected as the study subjects from May 2020 to May 2022,all patients underwent high-resolution CT examination,according to whether the patients had intrapulmonary metastasis,they were divided into without intrapulmonary metastasis group(19 cases)and with intrapulmonary metastasis group(87 cases),and the CT values of the two groups were compared.Results The 30s,90s and 180s CT values of lung adenocarcinoma without intrapulmonary metastasis were significantly lower than those with intrapulmonary metastasis(P<0.01).According to ROC curve analysis,the AUC of 30s,90s,180s CT values and the combination of the three items for early prediction of lung adenocarcinoma with intrapulmonary metastasis were 0.794,0.962,0.855 and 0.966,respectively.Conclusion High-resolution CT examination can improve the diagnostic accuracy when judging lung adenocarcinoma with intrapulmonary metastasis.
作者
杨芬慧
YANG Fenhui(Radiology Department of the 72nd Group Military Hospital of the Army,Huzhou,Zhejiang 313000,China)
出处
《影像研究与医学应用》
2023年第4期57-59,共3页
Journal of Imaging Research and Medical Applications
关键词
高分辨率CT
肺腺癌
肺内转移
High-resolution CT
Lung adenocarcinoma
Intrapulmonary metastasis
