肺小结节CT征像及病理对照研究.pdfVIP

3、肿瘤组织的边缘特征、形态、内部结构及伴随征象：（1）分叶征：鳞癌 30 例，腺癌 11 例，腺鳞癌 5 例，结核球 1 例，炎性假瘤 0 例；（2）毛刺征：鳞癌 20 例，腺癌27例，腺鳞癌3例，结核球2例，炎性假瘤1例；（3）空泡征：鳞癌8例， 腺癌9例，腺鳞癌1例，结核球2例，炎性假瘤1例；（4）支气管血管集束征：鳞癌 16例，腺癌20例，腺鳞癌2例，结核球1例，炎性假瘤1例；（5）胸膜凹陷征：鳞 癌20例，腺癌30例，腺鳞癌3例，结核球5例，炎性假瘤3例；（6）钙化：鳞癌2 例，腺癌2例，腺鳞癌0例，结核球10例，炎性假瘤2例. 4、强化幅度：周围型肺癌在55s 达到峰值（CT值约55. 99HU），结核瘤呈平坦 型，无明显强化高峰（CT值约26. 89HU），炎性假瘤135 s 达峰值（CT值约76. 58）。 结论：（1）发病年龄，肺癌多发生在40岁以上（P﹤0.05），结核球多在40岁以 下（P﹤0.05），炎性假瘤多在 40 岁以上（P﹤0.05）。（2）病灶部位，结核球多集中 在两肺上叶尖后段及下叶背段，发病部位有统计学意义（P O．05），各病理类型的 周围型小肺癌在发生部位上无统计学意义(PO．05)。（3）边缘特征、形态、内部结 构及伴随征象，分叶征、毛刺征、空泡征、支气管血管集束征、胸膜凹陷征以周围性 肺癌最多见。（4）强化幅度，周围型肺癌呈中度强化，结核瘤呈轻度强化，炎性假瘤 呈明显强化。 关键词 孤立性肺小结节；肺癌；炎性假瘤；结核瘤；体层摄影；增强扫描 The research of Lung tubercle CT sign and pathology comparison Speciality: Medical Imaging and Nuclear Medicine Author: Li Wenmin Tutor: Prof: Gan Jie Abstract Objective: Through the review analysis 136 examples after between the pathology confirmations isolatism lung tubercles occurrence spot, the morphological character, the strengthened scope and the pathology organizations relevance, summarizes the different pathology organizations CT sign, for clinical enhances the lung tubercle diagnosis rate to provide the possibility. Data and Methods: This research collection after the pathology confirmations isolatism lung tubercle 136 examples, utilizes the CT scanning technique, like the infection thin layer (or target sweeps), HRCT, the post-processing technology, the enhancement scanning and so on, since childhood the tubercle occurrence spot, the density, the shape, the strengthened scope aspect, the discussion isolatism lung tubercles CT performance and the organization pathology types relevance, and makes statistics processing, summarizes the different pathology organizations CT characteristic. Results: 136 example SPN