CT动态增强扫描对肺内孤立性小结节的鉴别诊断价值.docVIP

CT动态增强扫描对肺内孤立性小结节的鉴别诊断价值 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：CT动态增强扫描对肺内孤立性小结节的鉴别诊断价值 1 1 资料与方法 2 2 结果 3 3 讨论 4 文2：肺内孤立性小结节的CT检查资料报告 6 1资料与方法 6 参考文摘引言： 8 原创性声明（模板） 9 文章致谢（模板） 9 正文 CT动态增强扫描对肺内孤立性小结节的鉴别诊断价值 文1：CT动态增强扫描对肺内孤立性小结节的鉴别诊断价值 ［ABSTRACT］ObjectiveTo investigate the dynamic enhanced CT scanning in differentiation of small solitary pulmonary nodules. MethodsSixty cases were confirmed by operation and pathology， 38 of the total were small lung cancer， 12 were tu-berculoma， and 10 were inflammatory nodules. All cases were studied with plain chest CT scan and dynamic enhanced （the delay time of sca was 30 s and 1，2，3，4，5，6 min after injection） before surgery. Then the enhancement degree of the lesio was recor-ded at different times. The time-attenuation curves of different diseases were made. ResultsThere was no significant difference in plain CT value among cancer， inflammatory and tuberculoma. Tuberculoma showed a significantly lower degree of enhancement than the cancer and inflammatory nodules. The carcinoma and the inflammation showed no difference in degree of enhancement. But the time-attenuation curves of the three kinds of lesio after injection of contrast medium appeared to be different and the en-hancement modality of the three kinds of lesio were different too. ConclusionThe dynamic enhanced CT scanning is of certain value to differential diagnosis of small solitary pulmonary nodules. ［KEY WORDS］coin lesion， pulmonary; tomography， X-ray computed; diagnosis， differential 肺内孤立结节的鉴别诊断一直是影像学研究的热点［1］，由于恶性结节的血管生成过程、血供与良性结节有显著的差别，这就为利用影像学技术鉴别肺结节的良、恶性提供了可能性。本文对60例肺内孤立结节进行动态增强扫描，分析其增强扫描特点，以期提高诊断正确率。 1 资料与方法 一般资料 选择直径小于3 cm的孤立肺结节病人60例，男29例，女31例;年龄24～78岁，平均56岁。病人均能配合检查。所有病例均经手术病理证实，其中肺癌38例（腺癌23例，鳞癌11例，小细胞癌3例，大细胞癌1例），结核球12例，炎性结节10例（为活动性炎性结节，其中球形肺炎4例，机化性肺 炎6例） 检查方法 采用GE lightspeed 8螺旋CT机。检查前训练病人呼吸、屏气，以保持扫描屏气程度一致。在为病人注入对比剂之前先对肿瘤行层厚 mm、层距 mm的 扫描方法。增强扫描:使用高压注射器以 3 mL的 流率通过肘前静脉注入100 mL的非离子型对比剂（优维显），分别于注药开始后30 s、 1 min 、 2 min 、3 min、4 min