X线与CT在中央型肺癌诊断中应用价值.docVIP

X线与CT在中央型肺癌诊断中应用价值 　　[摘要]目的 探讨X线与CT诊断中央型肺癌的影像学特点和临床价值。方法 选取我院2015年12月～2016年9月诊治的53例中央型肺癌患者作为研究对象，对其分别实施X线与CT诊断，比较X线、CT对中央型肺癌的诊断准确率，并评估X线、CT诊断中央型肺癌的影像学特征。结果 CT对于中央型肺癌类型的诊断准确率为96.23%，高于X线的84.91%，差异有统计学意义（P0.05）。CT对中央型肺癌位置的诊断准确率为100.00%，高于X线的88.68%，差异有统计学意义（P0.05）。结论 X线与CT诊断中央型肺癌的影像学特点明显，但CT对中央型肺癌的诊断准确率高于X线，建议临床医师在使用X线诊断中央型肺癌可疑时，可经CT予以进一步确诊，提升其临床诊断价值，值得推广应用。 　　[关键词]诊断；中央型肺癌；X线；CT；影像学特点；肿瘤类型；肿瘤位置 　　[中图分类号] R734.2 [文献标识码] A [文章编号] 1674-4721（2017）09（c）-0037-03 　　[Abstract]Objective To investigate the imaging features and clinical value of X-ray and CT in the diagnosis of central lung cancer.Methods 53 patients with central lung cancer who were diagnosed and treated from December 2015 to September 2016 in our hospital were selected as the study subjects.X-ray and CT diagnosis were performed respectively，and the diagnostic accuracy of X-ray and CT on the central lung cancer was compared.The imaging features of X-ray and CT in the diagnosis of central lung cancer was evaluated.Results The diagnostic accuracy of type of central type lung cancer in CT diagnosis was 96.23%，which was higher than 84.91% in X-ray diagnosis，with significant difference （P0.05）.The diagnostic accuracy of location of central type lung cancer in CT diagnosis was 100.00%，which was higher than 88.68% in X-ray diagnosis，with significant difference （P0.05）.Conclusion The imaging features of X-ray and CT in the diagnosis of central lung cancer are significant，but the diagnostic accuracy of CT in the diagnosis of central type lung cancer is higher than that of X-ray.It is suggested that clinicians，when suspected of the central lung cancer via the diagnosis of X ray，further confirm the diagnosis by CT，so as to enhance its clinical diagnostic value，which is worthy of promotion and application. 　　[Key words]Diagnosis；Central lung cancer；X ray；CT；Imaging features；Tumor type；Tumor location 　　作为肺部常见恶性肿瘤之一，中央型肺癌多发生于个体支气管及以上到主支气管，以刺激性干咳、咯血、胸痛、发热等为主要临床表现，部分患者可并发肺不张、阻塞性肺炎、淋巴结转移等严重病症，治疗难度较高，对患者生活质量、生命安全均造成严重负面影响