MSCT动态增强对肺腺癌与鳞癌的诊断价值.pdfVIP

·408 · 2009 5 3 1 5　NngxaMed,JMay.2009, Vol3 1, No.5 :1001-5949 (2009 )05 -0408-03 ·论　著 · MSCT 1 2 2 1 1 杨利莉, 张志远,平学军 ,哈若水, 马　军 　　[]　　 MSCT 。　 25 (11, 14 ) MSCT, 、 CT CT、- 、。　CT, (P0.05 );, , , (P0.05 ); , ;≤ 3 cm , ;3 cm, 。　 CT , 。 []　肺癌;体层摄影术;x线计算机;动态增强 []　R44 5.2　　[]　A Thedynamcenhancedscannngbymult-slceCTforlungadenocarcnomaandsquamouscarcnoma YANGL-l, eta.l(TheAfflatedHosptalofNngxaMedcalUnversty, Ynchuan750004, Chna) [ Abstract]　Objectve　Toevaluatethedagnostcvalueofdynamcenhancedenhancedscannngbymult-slceCT(MSCT) forlungadenocarcnomaandsquamouscarcnoma.Methods　Atotalof25 patentswthpulmonarynodulewereexamedwthMSCT, whchncluded11 lungadenocarcnomaand14 lungsquamouscarcnoma.Thepre-enhancedCTvalu,enetenhancedCTvalu,e the typeofT-DC, thetmetopeak, andenhancementpatternwerecomparednlungadenocarcnomaandsquamouscarcnoma.Results　 CTvalueoflungadenocarcnomawasgreaterthanthatoflungsquamouscarcnomanbothofplanscanandenhancedscannng, but therewasnostatstcallysgnfcant(P0.05);TheTDCoflungadenocarcnomaandlungsquamouscarcnomawerealllkepara- curv,e thecurveoflungsquamouscarcnomawasunderthecurveoflungadenocarcnom,athepeakvalueoflungadenocarcnomawas hgherthanthatoflungsquamouscarcnom,abuttherewasnostatstcallysgnfcantbetweenthem(P0.05 ).Thetmetopeakof lungadenocarcnomawereearlerthanthatoflungsquamouscarcnom,a buttherewasnostatstcallysgnfcan;twhendameterof tumorequaltoorsmallerthan3 cm, thelungadenocarcnomaandlungsquamouscarcnomaallshowedhomogeneousenhancemen,twhen dameteroftumorlargerthan3 cm, lungsquamouscarcnomashowedheterogeneousenhancementmore.Concluson　TheMSCTsan effectvemethodndfferentaldagnossoflungadenocarcnomaandlungsquamouscarcnoma. [ Keywords]　Soltarypumlonarynodule;Tomography, X-raycomputed;Dynamcenhanced 　　,