64排螺旋CT对混合性磨玻璃结节样肺腺癌的诊断及影像学表现分析.pdfVIP

实用医学影像杂志2023年4月第24卷第2期 JPMI,April 2023,Vol. 24. No.2 ・101・ 64排螺旋CT对混合性磨玻璃结节样肺腺癌的 诊断及影像学表现分析 袁彬洁石浩萌李松会吕洁 【摘 要】目的 分析64排螺旋CT对混合性磨玻璃结节样肺腺癌的诊断及影像学表现 。方法 选取自 2021年3月至2022年3月本院收治的95例混合性磨玻璃结节样肺腺癌患者 ，将其设为观察组 。选取同期86 例检查的混合性磨玻璃结节样肺炎性病变患者,设为对照组 。2组患者均采用64排螺旋CT检查，分析2组影像 学表现差异,比较不同类型的64排螺旋CT表现 。结果 多层螺旋CT(MSCT)表现:左肺上叶胸膜下可见一混合 磨玻璃结节影，边界清晰,病变呈分叶状，临近胸膜牵拉 。观察组混合性磨玻璃结节样病灶血管聚集征、胸膜凹 陷、边界清晰、分叶情况、晕厚度不均等特征所占比例均高于对照组,差异有统计学意义(P0.05) 。原位腺癌 (AIS) 、微浸润腺癌(MIA) 、浸润性腺癌(IAC)的MSCT特征在部位、大小、形状、密度及数量间比较，差异有统计 学意义(PV0.05) 。且AIS多数呈现出中心性生长 。MIA及IAC大部分表现为非中心性生长;AIS 中靠近同层面血 管所占比例较高，而MIA 中远于同层面血管所占比例较高;AIS患者多数表现为点状或多边形,MIA大部分则呈 现出圆形或椭圆形,IAC多为不规则形;AIS及IAC多为单发病灶，且结节直径M5 多数表现为多发灶, 且结节直径V5mm°结论64排螺旋CT在混合性磨玻璃结节样肺腺癌的诊断中具有较高的应用价值,为鉴别 肺炎性病变提供可靠信息。 ［关键词 ］体层摄影术 ，螺旋计算机 ；肺肿瘤 ；腺癌 Diagnosis and imaging features o mixed ground-glass nodular lung adenocarcinoma with 64-slice spiral CT Yuan Binjie, Shi Haomeng, Li Songhui, Lyu Jie. Department of Imaging, Pingdingshan Hospital of Traditional Chinese Medicine, Henan 467000, China [Abstract] Objective To analyze the diagnosis and imaging features of mixed ground-glass nodular lung adenocarcinoma with 64-slice spiral CT. Methods Ninety-five patients with mixed ground glass nodular lung adenocarcinoma admitted to our hospital from March 2021 to March 2022 were selected and set as the observation group. Eighty-six patients with mixed ground-glass nodular pulmonary lesions examined during the same period were selected as the control group. The patients of the two groups were examined by 64-slice spiral CT, the differences in imaging findings between the two groups were analyzed, and the manifestations of differ