摘要
目的:分析肺炎型浸润性肺腺癌(IMA)的计算机断层扫描(CT)图像特征及与病理特征的关系。方法:选择2017年3月至2023年2月在青海红十字医院诊治的肺炎型IMA患者70例作为浸润组,另选择同期诊治的肺炎型良性结节患者70例作为结节组。所有患者都给予多层螺旋CT检查与病理检查,记录CT图像特征及病理特征并判断诊断价值。结果:浸润组患者的叶间裂膨隆、支气管充气征、枯树枝征、血管造影征等CT特征检出率都显著高于结节组,差异具有统计学意义(P <0.05);浸润组患者的浸润深度(T3~T4)、淋巴结转移、组织低分化等病理特征检出率均高于结节组,差异均具有统计学意义(P <0.05);logistic回归显示:肺炎型IMA患者有叶间裂膨隆、支气管充气征、枯树枝征、血管造影征是浸润深度T3~T4、存在淋巴结转移、组织低分化的危险因素(P <0.05)。结论:肺炎型IMA的CT诊断具有显著的征象特征,多伴随有CT值增加,在病理上多表现为浸润深度增加、淋巴结转移、组织低分化,肺炎型IMA患者有叶间裂膨隆、支气管充气征、枯树枝征、血管造影征是浸润深度T3~T4、存在淋巴结转移、组织低分化的危险因素。
Objective To analyze the computed tomography(CT) image features of pneumonia-type invasive lung adenocarcinoma(IMA) and its relationship with pathological features.Methods From March 2017 to February 2023,70 case of patients with pneumonia-type invasive adenocarcinoma of the lung diagnosed and treated in a hospital were selected as the invasion group,and the other 70 cases of patients with pneumonia-type benign nodules diagnosed and treated in our hospital were selected as the nodule group at the same time.All patients were underwent multi-slice spiral CT examination and pathological examination,recorded the CT image features and pathological features,and determining diagnostic value.Results The CT detection rates of interlobar fissure swelling,air bronchogram,dry branch sign and angiographic sign in the infiltrating group were significantly higher than those in the nodule group,with statistical significance(P < 0.05).The pathological feature detection rates of depth of invasion(T3 ~ T4),lymph node metastasis and low tissue differentiation in the infiltrating group were significantly higher than those in the nodule group with statistical significance(P < 0.05).Pneumonia-type logistic regression showed that the risk factors of infiltration depth T3 ~ T4,lymph node metastasis,and low tissue differentiation in IMA patients were interlobal swelling,air bronchogram sign,dry branch sign,and angiographic sign(P < 0.05).Conclusion CT diagnosis of pneumonia-type IMA has significant features,often accompanied by increased CT values,and pathological manifestations include increased infiltration depth,lymph node metastasis,and low tissue differentiation.The risk factors for the infiltration depth of T3 ~ T4,lymph node metastasis and low tissue differentiation are interlobar swelling,air bronchogram sign,dry branch sign and angiographic sign in pneumonia-type IMA patients.
作者
毛旭
桑菁遥
赵艳丽
MAO Xu;SANG Jingyao;ZHAO Yanli(Qinghai Red Cross Hospital,Qinghai Xining 810000)
出处
《深圳中西医结合杂志》
2023年第21期75-78,F0003,共5页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
关键词
肺炎型浸润性肺腺癌
多层螺旋计算机断层扫描
肺炎型良性结节
Pneumonia-type invasive lung adenocarcinoma
Multilayer spiral computed tomography
Pneumonia-type benign nodules
