2018 年第 6 期 第 13 卷

早期中心型肺癌诊断中16排螺旋CT的应用价值

Value of 16-slice spiral CT in diagnosis of early stage central type lung cancer

作者：贝晶晶邱敏华吴加满

英文作者：

单位：318000浙江省台州市中医院放射科（贝晶晶、邱敏华）；325000浙江中医药大学附属温州中医院放射科（吴加满）

英文单位：

关键词：早期中心型肺癌；16排螺旋CT

英文关键词：

• 摘要：

• 【摘要】目的    探讨16排螺旋CT在早期中心型肺癌诊断中的价值。方法    选择2016年2月至2017年9月浙江省台州市中医院收治的92例既往CT或临床拟诊早期中心型肺癌的患者，采用16排螺旋CT仪进行扫描，统计早期中心型肺癌患者肺叶、肺段支气管的显示率和病变的检出例数，并与手术病理诊断结果进行比较。结果    所有患者肺叶支气管与肺段支气管均全部显示，显示率达100.0%（92/92）。所有患者均经CT诊断为早期中心型肺癌，手术病理诊断所有患者亦均为早期中心型肺癌。CT诊断管壁浸润型、管内型、腔外型分别为34例(37.0%)、32例(34.8%)、26例(28.3%)；手术病理诊断管壁浸润型、管内型、腔外型分别为33例(35.9%)、31例(33.7%)、28例(30.4%)。16 排螺旋CT诊断与手术病理诊断早期中心型肺癌类型差异无统计学意义(P＞ 0.05)。结论    16排螺旋CT在早期中心型肺癌诊断方面具有无创、高效、准确的特点，有助于患者的早诊断早治疗，对改善疾病预后具有重要意义。

• 【Abstract】Objective    To analyze the value of 16-slice spiral CT in diagnosis of early stage central type lung cancer. Methods    Ninety-two patients with early stage central type lung cancer from February 2016 to September 2017 in Taizhou Traditional Chinese Medicine Hospital were enrolled. All patients were scanned by 16-slice spiral CT before surgical operation. Detection number of lung carcinoma, display rate of segmental bronchi and postoperative pathological results were analyzed. Results    The display rate of lobar bronchi and segmental bronchi was 100.0%（92/92）. All patients diagnosed of early stage central type lung cancer by CT were confirmed the diagnosis by postoperative pathological examination. Spiral CT showed 34 cases(37.0%) of infiltrative type, 32 cases(34.8%) of intracanalicular type and 26 cases(28.3%) of exophytic type; pathological results showed 33 cases(35.9%) of infiltrative type, 31 cases(33.7%) of intracanalicular type and 28 cases(30.4%) of exophytic type; there was no significant difference between lung cancer types diagnosed by the 2 means(P＞0.05). Conclusion    The 16-slice spiral CT is non-invasive, precise and effective in diagnosis of early stage central type lung cancer.