双层螺旋CT对肺部单发结节诊断价值.docVIP

双层螺旋CT对肺部单发结节诊断价值 　　[摘要] 目的 研究双层螺旋CT对肺部单发结节的诊断价值。方法 整群选取该院2013年2―10月收治的80例肺部单发结节患者，采用双层螺旋CT对患者进行诊断，观察患者恶性结节和良性结节例数以及恶性结节类型。参照最终诊断结果对此次诊断采取前瞻性分析。结果 双层螺旋CT诊断恶性结节42例（鳞癌14例、腺癌19例、转移瘤6例、周围型肺炎3例），良性结节30例（结核球14例、硬化性血管瘤7例、炎性假瘤5例、肺动脉断面4例），4例未确诊，诊断灵敏度87.5%、特异性93.8%、准确性90%，相较最终病理诊断结果差异无统计学意义（P0.05）。 结论 双层螺旋CT检测肺部单发结节诊断效果显著，具有较大临床价值。 　　[关键词] 双层螺旋CT；肺部单发结节；诊断 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2016）01（b）-0192-02 　　Diagnostic Value of Double-helical CT in the Diagnosis of Solitary Lung Nodules 　　LI Ming 　　Radiology Department， Henan Traditional Chinese Medicine Hospital， Zhengzhou， Henan Province， 450002 China 　　[Abstract] Objective To study the diagnostic value of double-helical CT in the diagnosis of solitary lung nodules. Methods 80 cases of patients with solitary lung nodules treated in our hospital from February 2013 to October 2013 were selected and diagnosed with double-helical CT， the case number of malignant nodules and benign nodules and the type of malignant nodules were observed， the diagnosis was prospectively analyzed referring to the final diagnosis results. Results By double-helical CT diagnosis， 42 cases were malignant nodules（SqCa in 14 cases， adenocarcinoma in 19 cases， metastatic neoplasm in 6 cases， peripheral pneumonia in 3 cases）， 30 cases were benign nodules（tuberculoma in 14 cases， sclerosing dngioma in 7 cases， inflammatory pseudotumor in 5 cases， pulmonary artery section in 4 cases）， 4 cases were not diagnosed， the diagnostic sensitivity， specificity and accuracy were respectively 87.5%， 93.8% and 90%， the difference was not obvious compared with the final pathological diagnosis results（P0.05）. Conclusion Double-helical CT in the diagnosis of solitary lung nodules has an obvious effect and it is of great clinical value. 　　[Key words] Double-helical CT； Solitary lung nodules； Diagnosis 　　肺结节病又称肉样瘤，是一种原因未明的多系统肉芽肿性疾病，发病机制目前是未知抗原与机体细胞免疫和体液免疫功能相互抗衡的结果，病理形态为非干酪性肉芽肿，主要侵犯人体淋巴结、肺、肝等器官[1]。肺部单发结节通常是指肺内直径小于3 cm的圆形实质性病灶，是肺结节病中的典型。肺部单发结节患者早期大多没有特异性的临床症