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| 同层CT动态增强扫描在肺孤立性结节诊断中的应用 | |
| 引用本文： | 朱亚彬,储成凤,徐秋贞,杨明,刘志勇,吴熹,杨丹宁,姚青.同层CT动态增强扫描在肺孤立性结节诊断中的应用[J].中国胸心血管外科临床杂志,2004,11(3):188-191. |
| 作者姓名： | 朱亚彬 储成凤 徐秋贞 杨明 刘志勇 吴熹 杨丹宁 姚青 |
| 作者单位： | 1. 东南大学附属中大医院,胸心外科,南京,210009 2. 东南大学附属中大医院,放射科,南京,210009 3. 东南大学附属中大医院,病理科,南京,210009 |
| 基金项目： | 东南大学校科研和教改项目 |
| 摘 要： | 目的评价同层CT动态增强扫描技术在肺孤立性结节诊断中的价值. 方法回顾性总结手术治疗的42例肺孤立性结节病变患者的临床资料,分析CT动态增强扫描前后CT增强值的变化,与术后病理检查的结果比较. 结果肺癌和肺炎性假瘤显著强化,肺结核球和肺错构瘤轻度强化或不强化,肺癌患者CT动态增强扫描在85秒和135秒CT值与其它病变比较差别有显著性意义(P<0.05). 结论同层CT动态增强扫描对肺孤立性结节的鉴别诊断有一定的价值,术前应常规进行CT动态增强扫描并对淋巴结进行观察,有助于手术方案的选择. |
| 关 键 词： | 肺癌 肺孤立结节 增强CT 诊断 |
| 文章编号： | 1007-4848(2004)03-0188-04 |
| 修稿时间： | 2003年8月20日 |
Application of incremental dynamic enhanced computer tomography in the diagnosis of solitary pulmonary nodules |
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| ZHU Ya-bin,CHU Cheng-feng,XU Qiu-zhen,YANG Ming,LIU Zhi-yong,WU Xi,YANG Dan-ning,YAO Qing.Application of incremental dynamic enhanced computer tomography in the diagnosis of solitary pulmonary nodules[J].Chinese Journal of Clinical Thoracic and Cardiovascular Surgery,2004,11(3):188-191. | |
| Authors: | ZHU Ya-bin CHU Cheng-feng XU Qiu-zhen YANG Ming LIU Zhi-yong WU Xi YANG Dan-ning YAO Qing |
| Institution: | ZHU Ya-bin~1,CHU Cheng-feng~2,XU Qiu-zhen~2,YANG Ming~2,LIU Zhi-yong~1,WU Xi~1,YANG Dan-ning~1,YAO Qing~3 |
| Abstract: | Objective To evaluate the value of incremental dynamic enhanced computer tomography (CT) in diagnosis of solitary pulmonary nodules (SPN). Methods The data of 42 cases with SPN who had undergone pulmonary lobectomy were collected retrospectively to find the relationship between character of preoperative dynamic enhanced CT image and postoperative pathologic result. Results All bronchogenic carcinoma showed significant enhancement after intravenous 100 ml iodinated contrast material. The average degree of enhancement of bronchogenic carcinoma during the time 85s and 135s after infusion was significantly different from that of tuberculoma and other benign lesions(P<0.05). Conclusion Dynamic enhanced CT is valuable in identifying the malignant nodules from benign nodules. Emphasis should be paid to the lymph nodes in the relative field with dynamic enhanced CT, which is beneficial to the diagnosis of SPN and it is an important predictor of the result of surgical (treatment. ) |
| Keywords: | Lung cancer Solitary pulmonary nodule Enhanced computer tomography Diagnosis |
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