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CT在肺结节良恶性鉴别诊断中的临床价值

The clinical value of CT in the differential diagnosis of benign and malignant pulmonary nodules
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摘要 目的:探究肺结节良恶性鉴别诊断中应用CT的临床价值。方法:选择2022年9月—2024年3月就诊于镇江市第三人民医院肺小结节诊疗中心的肺结节患者41例,对所有患者进行CT检查。以病理结果为金标准,计算CT对肺结节良恶性的鉴别诊断准确率、灵敏度、特异度;对比分析良、恶性肺结节的CT图像特征。结果:CT诊断肺结节良恶性的准确率为94.23%、灵敏度97.50%、特异度83.33%。恶性肺结节CT检查图像可见分叶征、混合密度、空泡征、血管集束征,与良性肺结节比较,差异有统计学意义(P<0.05)。结论:CT用于鉴别诊断肺结节的良恶性有较高的价值。 Objective Exploring the clinical value of CT in the differential diagnosis of benign and malignant pulmonary nodules.Methods 41 patients with pulmonary nodules who visited the Pulmonary Small Nodule Diagnosis and Treatment Center of the Third People's Hospital of Zhenjiang from September 2022 to March 2024 were selected for CT examination.Used pathological results as the gold standard,statistically analyzed the diagnostic efficacy of CT in distinguishing between benign and malignant pulmonary nodules,including accuracy,sensitivity,and specificity.Comparative analysis of CT image features between benign and malignant pulmonary nodules.Results The accuracy of CT of benign and malignant pulmonary nodules was 94.23%,sensitivity 97.50%and specificity 83.33%.CT images of malignant pulmonary nodules showed lobulation sign,mixed density,vacuole sign,and vascular bundle sign,with significant differences compared to benign pulmonary nodules(P<0.05).Conclusion CT has high value in distinguishing between benign and malignant pulmonary nodules.
作者 曹时荣 解琳 CAO Shirong;XIE Lin(Department of Imaging,The Third People's Hospital of Zhenjiang,Zhenjiang,Jiangsu 212000,China)
出处 《影像研究与医学应用》 2024年第21期41-43,共3页 Journal of Imaging Research and Medical Applications
关键词 肺结节 良恶性 CT Pulmonary nodules Benign and malignant CT
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