摘要
目的探讨周围型肺癌的多层螺旋CT(MSCT)影像征象与组织病理学类型的相关性。方法采用MSCT对75例周围型肺癌进行常规扫描,并将所得数据经过后处理技术进行重建,分析各种征象,对CT征象与组织病理学类型进行相关性分析。结果空泡征、空气支气管征、磨玻璃征、毛刺征及胸膜凹陷征在腺癌与鳞癌中的发生率比较,差异均有统计学意义(P<0.05);比较瘤体直径、棘突征、深分叶征、支气管血管集束征和纵隔肺门淋巴结肿大在腺癌和鳞癌中的发生率,差异无统计学意义(P>0.05)。结论空泡征、空气支气管征、磨玻璃征、毛刺征及胸膜凹陷征与周围型肺癌的组织病理学类型具有相关性,可为临床对肺癌的初步定性诊断提供一定的影像客观依据。
Objective To explore the correlation between multi-slice spiral CT( MSCT) imaging features and pathological types of lesions of peripheral lung cancer. Methods Routine MSCT scans were used to examine 75 cases of peripheral lung cancer,and the obtained data were reconstructed by the post-processing technology to analyze all features,and then the correlation between CT features and pathological types were analyzed. Results As for CT features of vacuole sign,air bronchogram,ground-glass opacity,spiculated signand pleural indentation of the adenocarcinoma and the squamous carcinoma,their incidence were different and the differences were statistically significant( P <0. 05); but in the tumor diameter,spinous process,deep lobulation,bronchial vessel convergence and enlargement of hilar and mediastinal lymph node,their incidence also were different with no statistical significance( P > 0. 05). Conclusion The MSCT features of vacuole sign,air bronchogram,ground-glass opacity,spiculated signand pleural indentation are correlated with pathological types of lesions of peripheral lung cancer,which might clinically provide an objective image basis for preliminary qualitative diagnosis of lung neoplasms.
出处
《安徽医学》
2016年第2期163-166,共4页
Anhui Medical Journal
关键词
周围型肺癌
腺癌
鳞癌
多层螺旋CT
Peripheral lung cancer
Adenocarcinoma
Squamous carcinoma
Multi-slice spiral CT
