本文選題：排螺旋CT多期增強(qiáng)掃描　切入點(diǎn)：血管成像　出處：《江西醫(yī)藥》2015年10期

【摘要】：目的探討64排螺旋CT多期增強(qiáng)掃描聯(lián)合血管成像對(duì)肺內(nèi)腫塊的診斷價(jià)值。方法選擇從2012年3月至2014年2月于我院行64排螺旋CT多期增強(qiáng)掃描聯(lián)合血管成像的250例肺內(nèi)腫塊患者作為研究病例,根據(jù)患者病情的嚴(yán)重程度及種類,可以分為中央型肺癌組、周圍型肺癌組、良性病變組三組。而良性病變組按照疾病種類,可以分為血管瘤組、結(jié)核球組、錯(cuò)構(gòu)瘤組、炎性假瘤組四組。觀察血管成像對(duì)肺內(nèi)腫塊血供顯示及CT多期增強(qiáng)掃描后肺內(nèi)腫塊CT增強(qiáng)值情況。結(jié)果中央型肺癌組與周圍型肺癌組的供血?jiǎng)用}顯示率基本相符,兩組比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05);中央型肺癌組與周圍型肺癌組的供血?jiǎng)用}顯示率均顯著高于良性病變組,差異均具有統(tǒng)計(jì)學(xué)意義(P0.05);中央型肺癌組與周圍型肺癌組各期CT增強(qiáng)值基本相符,兩組比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05);中央型肺癌組與周圍型肺癌組的CT增強(qiáng)峰值均顯著高于結(jié)核球組、錯(cuò)構(gòu)瘤組、炎性假瘤組,差異均具有統(tǒng)計(jì)學(xué)意義(P0.05),但與血管瘤組的CT增強(qiáng)峰值均基本相符,差異均無統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論 64排螺旋CT多期增強(qiáng)掃描聯(lián)合血管成像對(duì)肺內(nèi)腫塊的良惡性具有較高的診斷價(jià)值,適合臨床長(zhǎng)期推廣應(yīng)用。
[Abstract]:Objective to evaluate the diagnostic value of 64 slice spiral CT multiphase enhanced scan combined with angiography in the diagnosis of pulmonary masses. Methods 250 cases of 64 slice spiral CT multiphase enhanced scan combined with angiography were performed in our hospital from March 2012 to February 2014. Patients with lung masses as study cases, According to the severity and type of the patient's condition, they can be divided into three groups: central lung cancer group, peripheral lung cancer group, and benign lesion group. According to the type of disease, the benign lesion group can be divided into hemangioma group, tuberculous ball group, hamartoma group, The four groups of inflammatory pseudotumor group were observed to observe the display of blood supply of pulmonary mass by angiography and CT enhancement value of pulmonary mass after multi-phase CT enhanced scan. Results the display rate of supplying artery in central type lung cancer group and peripheral type lung cancer group was basically the same, the two groups were compared. There was no significant difference between central lung cancer group and peripheral lung cancer group (P 0.05), the display rate of blood supply artery in central lung cancer group and peripheral lung cancer group was significantly higher than that in benign lesion group, the difference was statistically significant (P 0.05), the CT enhancement value of central type lung cancer group and peripheral lung cancer group was basically consistent with that of peripheral lung cancer group. The peak value of CT enhancement in central lung cancer group and peripheral lung cancer group was significantly higher than that in tuberculoma group, hamartoma group and inflammatory pseudotumor group. The difference was statistically significant (P 0.05), but it was consistent with the peak value of CT enhancement in hemangioma group. Conclusion 64-slice spiral CT multiphase enhanced CT combined with angiography has a high diagnostic value for benign and malignant lung masses, and is suitable for clinical application for a long time.
【作者單位】： 江西省上饒市人民醫(yī)院CT-MRI室;
【分類號(hào)】：R734.2;R730.44

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