本文選題：磨玻璃結(jié)節(jié)　切入點：X線計算機　出處：《中華肺部疾病雜志(電子版)》2016年04期 　論文類型：期刊論文

【摘要】：目的探討多層螺旋CT(MSCT)在肺局灶性亞厘米磨玻璃結(jié)節(jié)(f GGO)診斷中的臨床價值。方法分析95例亞厘米f GGO患者的MSCT檢查資料,并與病理診斷結(jié)果相對照,比較不同病理類型f GGO病灶大小、內(nèi)部實性成分大小、混合型磨玻璃結(jié)節(jié)(m GGO)比例、和胸膜凹陷、病灶形狀、分葉、毛刺、空泡和邊界情況。按照病灶與周圍血管的關(guān)系分為3型,分析不同病理類型f GGO與血管關(guān)系分型。結(jié)果 95例患者病灶最小為4.1 mm,最大為9.9 mm。浸潤前組與腺癌組病變大小、實性成分大小、m GGO和分葉征所占比例差異有統(tǒng)計學(xué)意義(P0.05),而胸膜凹陷、病灶形狀、毛刺、空泡和邊界情況差異無統(tǒng)計學(xué)意義(P0.05),良性組除分葉所占比例與腺癌組差異有統(tǒng)計學(xué)意義外,其余征象與腺癌組差異均無統(tǒng)計學(xué)意義(P0.05),按照f GGO與血管關(guān)系分型,良性組均為Ⅰ型和Ⅱ型,浸潤前組Ⅲ型10例(25.6%),腺癌組Ⅲ型17例(39.5%),浸潤前組、腺癌組Ⅲ型所占比例均高于良性組(P0.05)。結(jié)論肺內(nèi)亞厘米f GGO術(shù)前定性診斷難度較大,病灶的MSCT形態(tài)特點及其與周圍血管的關(guān)系對病變性質(zhì)的判斷有一定價值。
[Abstract]:Objective to evaluate the clinical value of multilayer spiral CTT in the diagnosis of focal subcentimeter milled glass nodules (f GGO.). Methods the MSCT findings of 95 patients with subcentimeter f GGO were analyzed and compared with pathological findings. The size of f GGO lesions, the size of internal solid components, the proportion of mixed milled glass nodules, and pleural cavity, shape, lobulation, burr were compared among different pathological types. According to the relationship between the lesions and the peripheral vessels, the relationship between the lesions and the vessels was classified into 3 types. Results the lesions of 95 patients were the smallest of 4.1 mm and the maximum of 9.9 mm. The size of the lesions in the preinvasive group and the adenocarcinoma group was 9. 9 mm, and the size of the lesions in the preinvasive group and the adenocarcinoma group was 9. 9 mm. There were significant differences in the proportion of solid component size GGO and lobulation sign (P 0.05), but pleural depression, lesion shape, burr, etc. There was no significant difference in cavitation and boundary conditions (P 0.05). Except for the proportion of lobulation in benign group and adenocarcinoma group, there was no significant difference between benign group and adenocarcinoma group (P 0.05). According to the relationship between f GGO and vascular type, there was no significant difference between benign group and adenocarcinoma group. The proportion of type 鈪，

本文編號：1619693