CT用于磨玻璃结节样多灶性肺腺癌诊断中的价值分析

The Value of CT in the Diagnosis of Multifocal Lung Adenocarcinoma with Ground Glass Node

目的:分析CT用于磨玻璃结节样多灶性肺腺癌(MLA)诊断中的价值。方法:从2018年1月-2019年1月笔者所在医院收治的疑似磨玻璃结节样多灶性肺腺癌患者中随机选取100例,对患者均进行CT检查,之后与病理诊断结果进行对比,评估CT诊断准确率。结果:CT诊断圆形、分叶征、毛刺症、空泡征、血管集束症准确率分别为90.00%、83.33%、88.89%、91.67%、100%;CT诊断浸润前病变、微浸润腺癌、浸润性腺癌准确率分别为94.12%、97.22%、82.50%;CT诊断纯磨玻璃影像、混合性磨玻璃密度准确率分别为89.58%、88.46%。结论:磨玻璃结节样多灶性肺腺癌诊断中使用CT进行检查,对于疾病分期、疾病症状分析均较为准确,对于患者的疾病判断具有一定的临床参考价值。

Objective:To analyze the value of CT in the diagnosis of nodular multifocal lung adenocarcinoma(MLA)with ground glass.Method:From January 2018 to January 2019,100 suspected patients with multifocal lung adenocarcinoma were randomly selected.All patients were examined with CT,then compared with the pathological diagnosis,the accuracy of CT diagnosis was evaluated.Result:The accuracy of CT in diagnosis of circular,lobulated,burr,cavitation and vascular cluster were 90.00%,83.33%,88.89%,91.67%and 100%respectively.The accuracy of CT in diagnosis of preinvasive lesions,micro-invasive adenocarcinoma and invasive adenocarcinoma were 94.12%,97.22%and 82.50%respectively.The accuracy of CT in diagnosis of the density of pure ground glass images and mixed ground glass were 89.58%and 88.46%respectively.Conclusion:CT examination in the diagnosis of nodular multifocal lung adenocarcinoma with ground glass is relatively accurate for the analysis of disease stages and disease symptoms,and has certain clinical reference value for the diagnosis of disease in patients.