对比分析伴有薄壁囊腔空洞的肺癌与肺结核的ct表现.docVIP

对比分析伴有薄壁囊腔/空洞的肺癌与肺结核的CT表现 曹辉 田成斌 史晓光 平煤神马医疗集团总医院放射科 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的 对比分析伴有薄壁囊腔/空洞的肺癌与肺结核的CT表现。方法 回顾性分析伴有薄壁囊腔/空洞的肺癌组17例与肺结核组19例患者的临床及CT资料并进行统计学处理。结果 肺癌组与肺结核组患者在发病年龄、囊腔/空洞形态、内壁形态、壁结节、分叶征、长毛刺征、胸膜牵拉及卫星灶等CT征象差异有统计学意义 (P均0.05) ;而在病灶大小、空洞壁平均厚度及毛刺征方面差异无统计学意义 (P均0.05) 。结论 伴有薄壁囊腔/空洞的肺癌与肺结核, 两者在发病年龄、性别及囊腔/空洞形态等CT表现差异有统计学意义, 可以据此进行诊断和鉴别诊断。 关键词： 肺癌; 肺结核; 体层摄影术, X线计算机; 收稿日期：2017-03-27 Comparison of CT appearances of lung cancer and pulmonary tuberculosis with thin-wall cyst or cavitates CAO Hui TIAN Cheng-bin SHI Xiao-guang Department of Radiology, Pingdingshan Mine General Hospital; Abstract： Objective To comparatively analyze the CT appearance of lung cancer and pulmonary tuberculosis with thin-wall cyst or cavitates. Methods The clinical and CT data of 17 lung cancer patients with cystic lesions and 19 pulmonary tuberculosis patients with cavity lesions were retrospectively analyzed. Their age, sex and CT appearances were statistically analyzed. Results There were statistical significance in age, cyst shape, inner wall shape, wall nodule, lobulated signs, long specification signs, pleural traction and satellite signs between the two groups ( P all 0. 05) , while there was no statistical significance in the size of cyst and some other signs between the two groups ( P all 0. 05) . Conclusion The age, sex and some CT signs of the lesions has statistical significance between the two groups, and these can help the differential diagnosis. Keyword： lung cancer; pulmonary tuberculosis; tomography; X-ray computed; Received： 2017-03-27 肺内空洞性病变以肺癌和肺结核多见, 而伴有薄壁囊腔的肺癌与伴有薄壁空洞的肺结核则在临床上少见, 因此熟悉两者的CT表现及鉴别诊断很重要[1-2]。本文重点对比分析两者的CT表现及鉴别诊断。 资料与方法 一、一般资料 收集我院2012年11月至2016年10月间经病理证实的伴有薄壁囊腔肺癌患者资料17例, 男6例, 女11例, 年龄24-74岁, 平均 (47.94±13.77) 岁。15例行手术切除, 2例行穿刺活检, 病理结果示腺癌16例, 鳞癌1例。另收集同期经PPD试验及临床证实的伴有薄壁空洞肺结核患者资料19例, 男16例, 女3例, 年龄16-62岁, 平均 (35.89±12.41) 岁。所有病例CT表现为肺内病灶伴有薄壁囊腔/空洞, 且其75%以上壁厚小于4mm。 二、检查方法 采用GE Bright Speed 64排螺旋CT