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临近胸膜周围型肺癌的CT表现
引用本文:姜玉芝,王智勇,曹明阁,付玉存.临近胸膜周围型肺癌的CT表现[J].医学影像学杂志,2005,15(8):675-677.
作者姓名:姜玉芝  王智勇  曹明阁  付玉存
作者单位:1. 山东省聊城市人民医院影像中心,山东,聊城,252000
2. 山东省乐陵市人民医院,山东,乐陵,253600
摘    要:目的:探讨临近胸膜周围型肺癌的CT征象,提高对临近胸膜周围型肺癌的诊断符合率。方法:对43例经病理证实的临近胸膜周围型肺癌患者的CT征象进行分析。结果:15例结节型临近胸膜周围型肺癌具有典型的周围型肺癌的CT表现,23例实变型临近胸膜周围型肺癌以临近胸膜实变影、胸膜改变、纤维条索聚集及肺大泡为主要CT征象,5例渗出型临近胸膜周围型肺癌表现为炎症CT征象。结论:全面分析CT征象可提高结节型与实变型临近胸膜周围型肺癌的诊断符合率,渗出型临近胸膜周围型肺癌应进行动态观察提高诊断符合率。

关 键 词:肺癌  胸膜  体层摄影术  X线计算机  诊断
文章编号:1006-9011(2005)08-0675-03
收稿时间:2005-03-18
修稿时间:2005-05-30

The diagnosis of CT imaging of under-pleural lung cancer
Jiang YuZhi;Wang ZhiYong;Cao MingGe;Fu YuCun.The diagnosis of CT imaging of under-pleural lung cancer[J].Journal of Medical Imaging,2005,15(8):675-677.
Authors:Jiang YuZhi;Wang ZhiYong;Cao MingGe;Fu YuCun
Abstract:Objective:To explore the appearance of under-pleura lung cancer and to improve its diagnostic accuracy by CT.Methods:The CT appearance of 40 cases of under-pleura lung cancer verified by pathology were reviewed.Results:15 cases of nodule-type under-pleura lung cancer were provided with representative CT appearance. The mainly CT appearance of 23 cases consolidation-type under-pleura lung cancer were consolidation under pleura, pleural change, fibre gathering and emphysematous spaces. The inflammatory were the CT features of 5 cases effusion-type under-pleura lung cancer.Conclusion:Analyse entirely the CT features of nodule-type or consolidation-type under-pleura lung cancer can improve its diagnostic accuracy. Dynamic observation can improve the diagnostic accuracy of effusion-type under-pleura lung cancer.
Keywords:Lung cancer  Pleura  Tomogrphy  X-ray computed  Diagnosis
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