肺部隐匿部位肺癌的CT诊断价值

目的：探讨对肺部隐匿部位肺癌的影像学检查方法及CT诊断价值。方法：对收集的28例隐匿部位肺癌进行回顾性分析,所有病例都不同的进行过正位胸片、正侧位胸片加透视下多轴位观察及CT扫描检查。结果：28例患者CT表现肺门肿块并阻塞性肺部改变者8例,其中直接征象为支气管的狭窄、梗阻、管壁增厚者6例;局限性肺气肿合并肺炎者1例;肺部肿块,具有分叶征、毛刺影、血管集束征阳性者12例,肿块伴有肺内多发结节样转移灶者1例;胸膜附近片状影或结节影,不同程度伴有胸膜凹陷或纵隔淋巴结肿大者6例。结论：肺部隐匿部位肺癌在常规正位胸片上未发现明显病灶者,应进行胸部侧位片以及透视下多轴位观察,高度怀疑隐匿部位病变存在可能者,必须作CT检查,不能明确定性者进一步支气管镜镜检或穿刺活检,以免耽误患者诊治,贻误病情。

Diagnostic value of CT scan in hidden parts of the lung cancer

Objective:To explore the imaging methods and diagnostic value of CT scan in hidden parts of the lung cancer. Methods:28 cases of hidden parts of the lung cancer were analyzed retrospectively in which all cases had been examined by different orthotopic chest X-ray,lateral chest X-ray and perspective multi-bit observationin and CT scan. Results:On CT manifestations of 28 patients, pulmonary hilar mass complicated with obstructive pulmonary changes were presented in 8 cases, including 6 cases in the direct sig...