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孤立性肺结节CT诊断的评价(附54例分析)
引用本文:崔允峰,刘庆伟,杨玉海,赵素红,修建军,刘波.孤立性肺结节CT诊断的评价(附54例分析)[J].医学影像学杂志,2001,11(5):315-317.
作者姓名:崔允峰  刘庆伟  杨玉海  赵素红  修建军  刘波
作者单位:山东大学第二医院放射科,
摘    要:目的:探讨孤立性肺结节的CT表现及诊断。方法:对54例3.0cm以下的孤立性肺结节CT表现进行回顾性分析,其中恶性肿瘤30例,良性病变24例。CT常规扫描加病灶薄层扫描28例,常规扫描后行病灶区HRCT26例,增强扫描4例。结果:26例行HRCT扫描者术前显示病灶特征性改变,并作出正确诊断者22例(84.6%),病灶局部薄层扫描术前诊断正确者15例(57.6%),3例恶性肿瘤及1例良性肿瘤增强扫描均显示明显强化。结论:HRCT对肺癌及限局性机化性肺炎的鉴别诊断有较高价值,对孤立性肺结节以HRCT结合增强扫描并综合分析CT表现有助于提高定性诊断。

关 键 词:肺癌  X线计算机体层摄影术  孤立性肺结节  诊断  CT  SPN
文章编号:1006-9011(2001)05-0315-03
修稿时间:2001年5月25日

The value of CT diagnosis of solitary pulmonary nodule
CUI Yun-feng,LIU Qing-wei,YANG Yu-hai,et al..The value of CT diagnosis of solitary pulmonary nodule[J].Journal of Medical Imaging,2001,11(5):315-317.
Authors:CUI Yun-feng  LIU Qing-wei  YANG Yu-hai  
Institution:CUI Yun-feng,LIU Qing-wei,YANG Yu-hai,et al.Department of Radiology,The Second Hospital of Shandong University,Jinan,250033,China
Abstract:Objective:To investigate the value of CT diagnosis of solitary pulmonary nodule(SPN).Methods:54 cases of SPN (30 malignant and 24 benign lesions) were analysed retrospectively.All of them were under 3cm in diameter.HRCT were performed in 26 cases,contrast material CT in 4 besides standard CT scan in all of them.Results:22 cases(84.6%) were diagnosed correctly from 24 cases with HRCT and 15 cases(50%) were diagnosed correctly from 30 csases without HRCT.Three malignant and one benign lesions with contrast material CT showed obvious enhancement.Conclusion:HRCT is valuable for differentiate lung cancer from localized organizing pneumonia and other SPN.
Keywords:Lung cancer  Tomography  X-ray computed
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