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PET在孤立性肺结节患者中应用价值的研究
引用本文:王瑜,陈艳. PET在孤立性肺结节患者中应用价值的研究[J]. 新疆医学, 2011, 41(6): 19-22
作者姓名:王瑜  陈艳
作者单位:乌鲁木齐,新疆医科大学公共卫生学院,新疆,830054
摘    要:目的:研究正电子发射断层显像术(Positron Emission Tomography,PET)诊断孤立性肺结节(Solitary Pulmonary Nodules,SPN)的灵敏度(Sen)和特异度(Spe)以及在SPN患者中的应用价值。方法:回顾分析近两年新疆维吾尔自治区人民医院收治疑似SPN并获得病理证实的患者189例,绘制SPN诊断试验交叉表,并计算PET诊断SPN的灵敏度和特异度等指标。比较非PET组和PET组的无效开胸率。结果:PET组患者最终确诊恶性肿瘤75例(39.68%),良性结节17例(8.99%)。PET阳性患者76例(40.21%),PET阴性患者16例(8.47%)。诊断SPN的灵敏度为0.97,特异度为0.83,阳性似然比为5.71,阴性似然比为0.04,阳性预测值为0.96,阴性预测值为0.88,诊断符合率为0.95。PET组和非PET组在无效开胸率的比较χ^2=9.803,P=0.002,差别具有统计学意义。结论:PET在诊断SPN中有较高的准确性、使用价值较高,并且可以显著降低孤立性肺结节患者的无效开胸率。

关 键 词:正电子发射断层显像术  肺结节  医疗费用  肺肿瘤

Application Research of Solitary Pulmonary Nodules in Using of PET
Wang Yu,Chen Yan. Application Research of Solitary Pulmonary Nodules in Using of PET[J]. Xinjiang Medical Journal, 2011, 41(6): 19-22
Authors:Wang Yu  Chen Yan
Affiliation:Wang Yu,Chen Yan Public Health college of Xinjiang Medical University,Urumqi,Xinjiang,830054,China.
Abstract:Objective To study the sensitivity and specificity of positron emission tomography(PET) in diagnosis of solitary pulmonary nodules(SPN),and analyze the application value of PET in diagnosis of SPN.Methods Retrospective analysis for last two years,patients from The People's Hospital of Xinjiang Uygur Autonomous Region,whom with suspected SPN and 189 cases confirmed by pathology,cross-table of SPN diagnostic tests were draw,and calculate the PET diagnostic sensitivity and specificity of SNP and other indicato...
Keywords:positron emission tomography  pulmonary nodule  health care costs  lung neoplasms  
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