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CT对肺部隐匿部位肺癌的诊断价值
引用本文:林华云,林云亮. CT对肺部隐匿部位肺癌的诊断价值[J]. 中国医药指南, 2012, 10(14): 46-47
作者姓名:林华云  林云亮
作者单位:1. 广东省河源市妇幼保健院放射科,广东,河源,517000
2. 广东省河源市人民医院放射科,广东,河源,517000
摘    要:目的探讨肺部隐匿部位肺癌的临床特征,为隐匿性肺癌的影像学诊断提供参考依据。方法 40例入选病例均经组织病理学验证,确诊为隐匿型肺癌,查阅所有入选患者的病例档案,并对透视、胸片、CT扫描等影像学特征进行整理和总结,对比分析。结果 7例患者使用CT扫描即检出病变,检出率17.5%;33例患者联合DR胸片和CT检测,其中11例行正位检测检出(27.5%),22例侧位检测检出(55%)。根据不同病变位置的发生率排序,隐匿型肺癌主要发生于后肋膈角和肺门区,数据与其它部位比较具有显著差异(P<0.05)。结论后肋膈角和肺门区是隐匿型肺癌多发区域,正位胸片检查具有局限性,在不能确认为病灶的情况下可进一步行侧位胸片检查,最好综合应用多种影像学检测手段,以便更加准确的诊断隐匿型肺癌的存在。

关 键 词:隐匿型肺癌  诊断标准  CT扫描

The Diagnosis of Lung Cancer on Concealed Location by CT
LIN Hua-yun , LIN Yun-liang. The Diagnosis of Lung Cancer on Concealed Location by CT[J]. Guide of China Medicine, 2012, 10(14): 46-47
Authors:LIN Hua-yun    LIN Yun-liang
Affiliation:1 Department of Radiology, Heyuan MCH Hosptial, Heyuan 517000, China; 2 Department of Radiology, The People's Hospital ofHeyuan, Heyuan 517000, China)
Abstract:Objective To discuss the clinical features of occult lung cancer for making reference of imaging diagnosis. Methods 40 cases were diagnosed occult lung cancer by histopathological validation. To select all patients's medical records, summarize, compare and analyze the X-ray, chest radiography, CT scanning and other imaging features. Results 7 cases were detected of lesions by CT scanning with detection rate of 17.5%. 33 cases were combined DR with CT detection in which ii cases detected by antcroposterior (27.5%), 22 cases by lateral (55%). Occult lung cancer occurred mainly aRer costophrenic angle and the hilar region, the data had significant difference (P〈0.05). Conclusion The area after costophrcnic angle and hilar were the prone area of occult lung cancer, it's better to integrate application of various imaging detection means in order to more accurately diagnose the presence of occult lung cancer. .
Keywords:Occult lung cancer  Diagnostic value  CT scanning
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