Abstract: | ObjectiveTo explore the correlation between the characteristics of pulmonary nodules and their pathological results, and to speculate the clinical significance in judging the benign and malignant of pulmonary nodules. MethodsA retrospective analysis of 147 patients with pulmonary nodules, including 39 cases benign (benign group) and 108 cases malignant (malignant group). To evaluate the effectiveness of statistically significant factors in differentiating the benign and malignant pulmonary nodules, the general conditions (age, gender, smoking history)、tumor indexes (CEA, SCCAg, NSE, CYFRA21-1) and high-resolution CT signs between the groups were compared. ResultsThere was no significant difference in gender, smoking history, four lung cancer indexes, nodule size, nodule edge and burr sign between the groups (all P>0.05), but there were significant differences in age, family history of malignant tumor, nodule morphology, lobulation sign, vacuole sign and pleural traction sign (all P<0.05). The lobulation sign was the most effective factor in judging the benign and malignant of pulmonary nodules among the high-resolution CT signs, with a sensitivity of 79.6%. Logistic linear regression analysis showed that ground-glass nodule, lobulation and vacuole were all risk factors for malignancy (all P<0.05). ConclusionAge, family history of malignant tumor, nodule shape, lobulation sign, vacuole sign and pleural traction sign have certain reference significance in differentiating benign and malignant pulmonary nodules. |