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肺内孤立结节的CT血管集束征及其鉴别诊断
引用本文:赵宝英,耿昶,邓宝忠,白波,康鹏. 肺内孤立结节的CT血管集束征及其鉴别诊断[J]. 中国中西医结合影像学杂志, 2006, 4(5): 339-341
作者姓名:赵宝英  耿昶  邓宝忠  白波  康鹏
作者单位:辽宁中医学院附属医院放射科,辽宁,沈阳,110032
摘    要:目的:利用多层螺旋CT的优势,对肺内孤立结节血管集束征的血管构成和形态进行分析,以进一步提高孤立结节定性诊断的准确性。方法:肺内孤立结节病例81例,利用多层CT及MPR重建,确定血管集束征存在及其构成,并与病理、临床相对照。结果:肺癌、肺结核血管集束征阳性率较高,炎症以Ⅰ型血管集束征为主,肺癌以Ⅲ型为主。结论:各类肺内孤立结节血管集束征的阳性率及血管构成有一定的规律性,识别这一征象对病变的定性诊断有重要意义。

关 键 词:肺内孤立结节病变  多层螺旋CT  血管集束征  多平面重建
文章编号:1672-0512(2006)05-0339-03

The value of CT-vessel convergence sign in differential diagnosis of SPN
ZHAO Bao-ying,GENG Chang,DENG Bao-zhong. The value of CT-vessel convergence sign in differential diagnosis of SPN[J]. Chinese Imaging Journal of Integrated Traditional and Western Medicine, 2006, 4(5): 339-341
Authors:ZHAO Bao-ying  GENG Chang  DENG Bao-zhong
Affiliation:ZHAO Bao-ying,GENG Chang,DENG Bao-zhong. Department of Radiology,The Affiliated Hospital of Liaoning University of TCM,.Shenyang,110032,China.
Abstract:Objective: To evaluate vessel convergence sign from vessel makeup and morphology using MSCT and to find the characters of SPN in different diseases for improving the diagnostic accuracy of SPN.Methods: Eighty-one patients were included according to SPN standard,determine the composition vessel convergence sign by MSCT axal image and MPR,then compare with pathology.Results: Lung cancer and tuberculosis had higher positive rate,for type Ⅰinflammation had higher rate,for type Ⅲ,cancer had higher rate.Conclusion: There are some special character of vessel convergence sign in differnet SPN lesion as positive rate and vessel composition.These characters can help to differntial diagnosis in SPN.
Keywords:SPN  MSCT  Vessel convergence sign  MPR
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