早期肺癌60例综合影像学诊断分析

目的 探究临床中不同影像检查对早期肺癌的诊断价值.方法 2009年1月至2011年1月确诊的60例肺癌患者,其中周围型30例,中央型30例.回顾性分析该组患者中DR、CT、MRI检查结果与患者病理结果的诊断符合率.结果 两组DR、CT、MRI组间差异行统计学分析,DR在中央型肺癌诊断率高于周围型,其余两种诊断差异无统计学意义.周围型对数据行2组无序3分类秩和检验：H值=0.13,0.14,P〉0.05;3种检查方法间差异无统计学意义.结论 客观、合理选择针对性强、方式可靠、可行、综合性影像检查可在减少患者经济负担的同时减少误诊、漏诊率,提升早期肺癌检出率,更好地指导临床治疗.

Study on comprehensive imaging for diagnosis of early lung cancer.

Objective To explore the clinical significance of different imaging examinations in early diagnosis of lung cancer. Methods The clinical data of 60 cases confirmed for lung cancer including 30 with peripheral type and 30 with central type in this hospital during January 2009 to January 2011 were retrospectively analyzed for the coincidence rate of DR, CT and MRI findings with results of pathological examination. Results The difference in DR, CT and MRI between these two groups with statistical analysis was as follows ： DR ： 2 = 5.08, P 〈 0. 05 ; CT ：2 = O. 21, P 〉 0.05 ; MRI ： 2 = 2.31, P 〉 0. 05. There was no statistically significant difference between these 3 kinds of inspection methods. Con clusion It is important to select targeted objective, reasonable, reliable, practical and integrated imaging in patients with reduced rate of econom ic burden in order to reduce the rate of misdiagnosis and missed diagnosis and to enhance the detection rate of early lung cancer, thus it may better guide clinical treatment and protect the life of patients with health.