摘要
目的 探讨囊腔型肺癌的多层螺旋CT(MSCT)特征及其鉴别诊断。方法 回顾性分析新乡市中心医院2018年1月至2022年1月经手术病理证实的103例囊腔型肺癌患者资料,分析其MSCT图像,记录病灶及囊腔大小、囊壁厚度,分析MSCT对囊腔型肺癌的鉴别诊断价值。结果 103例囊腔型肺癌患者病灶多位于右肺,形态多呈类圆形或圆形,边缘可见分叶征、毛刺征,肺瘤边界光整,多囊,囊腔规则,囊壁较薄,腔内有血管形成,有胸膜凹陷征,形态学分型以Ⅳ型为主;病灶直径(31.97±8.26)mm,囊腔直径(24.56±7.38)mm,囊腔壁厚(1.94±0.61)mm;MSCT诊断囊腔型肺癌的正确率为95.15%(98/103),与病理诊断结果相比无统计学差异(P>0.05)。结论 囊囊腔型肺癌的CT表现特征明显,MSCT能清晰显示病灶范围、大小及其影像学特征,可为临床诊断及与其他肺部病变鉴别诊断提供客观依据。
Objective To investigate the multi-slice spiral computed tomography(MSCT)findings of cystic lung cancer,and its value in differential diagnosis.Methods The data of 103 patients with cystic lung cancer confirmed by surgery and pathology in the hospital from January 2019 to January 2022 were retrospectively analyzed.MSCT images of the patients were analyzed.The sizes of the lesion and the cyst,and the thickness of the cyst wall were recorded.The value of MSCT in differential diagnosis of cystic lung cancer was analyzed.Results Lesions in the 103 patients with cystic lung cancer were mostly located in the right lung,and were mostly quasi-circular or round,with lobulation sign and spicule sign on the edge.The border of the lung tumor was smooth,and the tumor was polycystic,with regular cyst cavity,thin cyst wall,vascularization in the cavity,and pleural indentation.The morphological classification mainly was type IV.The diameter of the lesion,the diameter of the cyst cavity and the thickness of the cyst wall were(31.97±8.26)mm,(24.56±7.38)mm and(1.94±0.61)mm,respectively.The correct rate of MSCT in diagnosing cystic lung cancer was 95.15%(98/103),and there was no statistical difference compared with pathological results(P>0.05).Conclusion CT findings of cystic lung cancer are characteristic.MSCT can clearly display the range,size and imaging characteristics of the lesions,thereby providing an objective basis for clinical diagnosis and differential diagnosis.
作者
张冰凌
栗鸿宝
肖艳
ZHANG Bing-ling;LI Hong-bao;XIAO Yan(CT Department,Xinxiang Central Hospital,The Fourth Clinical College,Xinxiang Medical University,Xinxiang 453000,Henan Province,China)
出处
《中国CT和MRI杂志》
2023年第5期31-32,54,共3页
Chinese Journal of CT and MRI
基金
河南省医学科技攻关计划项目(LHGJ20210902)。
关键词
囊腔型肺癌
多层螺旋CT
鉴别诊断
Cystic Lung Cancer
Multi-Slice Spiral CT
Differential Diagnosis
