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螺旋CT对肺癌的临床诊断价值研究

作者:周 红 杨 岚

所属单位:西安交通大学医学院第一附属医院 呼吸科 (陕西 西安 710061)

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摘要

目的 探讨螺旋CT对治疗肺癌的 临床价值,为肺癌研究提供可靠依据。方 法 选取我院2011年5月至2013年5月门诊 及住院部102例肺癌患者作为研究对象, 将所有患者的螺旋CT诊断结果和术后病理 检查进行比较,以确定诊断结果的准确 度。结果 肺癌患者螺旋CT分期与临床分 期结果无显著性差异;肺癌患者螺旋CT的 征象与手术病理诊断结果情况无显著性差 异;CT的肺癌分期和检出率与病理检查高 度一致。结论 螺旋CT应用于诊断肺癌可 以提高肺癌的检出率,有利于患者的及时 治疗,值得临床医学的进一步推广与应 用。

Objectives To explore clinical value of spiral CT in the diagnosis of lung cancer, and to provide reliable basis for clinical treatment for lung cancer. Methods 102 patients with lung cancer admitted by the outpatient service and inpatient department of this hospital were selected as research subjects, all patients were subject to multiple-layer spiral CT, and results of postoperative pathologic histology were compared, the accuracy of diagnosis results was observed. Results Spiral CT for lung cancer staging and clinical staging result there was no significant difference. A sign of lung cancer patients with spiral CT and surgical pathology diagnosis case there was no significant difference. CT of lung cancer classification and detection rate highly consistent with pathological examination. Conclusions The application of spiral CT derivers extremely important clinical value in the diagnosis of lung cancer, and it can improve the detection rate of lung cancer, but its accuracy is only higher in early diagnosis of lung cancer, and there are certain defects in the diagnosis of lung cancer during later period, thus multiple diagnostic methods have to be combined to conduct diagnose so as to provide reliable basis for clinical treatment of lung cancer.

【关键词】螺旋CT;肺癌;诊断价值

【中图分类号】R734.2;R445.3

【文献标识码】A

【DOI】 10.3969/j.issn.1672- 5131.2016.07.019

前言

肺癌是一种比较常见的呼吸系统恶性肿瘤,大多由腺体或者支气 管黏膜起源并常伴随淋巴结区域性转移及血行播散。肺癌的发病率和 死亡率增长最快,是对人类健康和生命威胁最大的恶性肿瘤之一[1]。 从世界卫生组织调查报告中可以得知,最近50多年许多国家和地区的 肺癌发病率与死亡率呈不断上升的趋势,其中男性肺癌的发病率与死 亡率均占所有恶性肿瘤的第一[2]。研究表明长期大量吸烟者的肺癌患 病率是不吸烟者的10倍到20倍,开始吸烟时的年龄越小,其肺癌患病 率就越大,同时城市居民肺癌患病率要高于农村居民。近年来医学影 像学技术不断发展,具有操作简便、准确率高、创伤性小等优点的螺 旋CT便被广泛地用于以影像检查为主的肺癌的临床诊断[3]。本文对我 院102例肺癌患者均采用螺旋CT进行检查,并将检查结果与病理检查结 果进行比较,评估螺旋CT在肺癌临床诊断的应用价值。