16层螺旋CT对肺癌临床分期的诊断价值

The value of 16-slice spiral CT in clinical staging of pulmonary carcinoma

目的:探讨16层螺旋CT(16-SCT)在肺癌术前临床分期中的价值。资料与方法:回顾分析经手术和病理证实的支气管肺癌患者共84例,将术前16-SCT检查结果与术后病理进行对照分析。结果:术前16-SCT分期和术后病理符合率为:I期95.2%,II期85.7%,IIIA期88.1%,IIIB期89.3%,IV期100%。16-SCT诊断T期肺癌的符合率为93.7%,诊断N期肺癌的符合率为93.2%。结论:16-SCT对肺癌术前分期即临床分期有较高的准确性,对T的符合率高于N,对指导临床制定治疗方案具有较高的价值。

Objective: To study the value of 16-slice spiral CT in clinical staging of pulmonary carcinoma. Methods: Eighty-four patients with bronchogenic carcinoma proved by operation and pathology underwent 16-SCT scanning. The 16-SCT findings were correlated with pathologic findings. Results: The coincidence of 16-SCT staging with pathological findings was 95.2% in stage I, 85.7% in stage II, 88.1% in stage IIIA, 89.3% in stage IIIB, 100% in stage IV. The coincidence of 16-SCT T and N staging with pathological findings were 93.7% and 93.2% respectively. Conclusion: 16-SCT is of high accuracy in staging of pulmonary carcinoma and very helpful for treatment planning.