74例孤立性肺结节临床诊治分析

Clinical analysis of 74 solitary pulmonary nodule cases

[目的]分析74例孤立性肺结节临床特征及诊断。[方法]对74例孤立性肺结节患者临床、CT、经皮穿刺肺活检术及手术病理进行回顾性分析。[结果]74例患者CEA增高51例(69%),痰脱落细胞学发现癌细胞9例(12%),CT诊断肺癌56例。26例行经皮穿刺肺活检术,42例手术治疗,术后诊断肺癌46例(62%)。本组病例确诊肺癌与非肺癌分组比较,CEA、HRCT与经皮穿刺肺活检术阳性和诊断分别为38(74.51%)、13(25.49%)、39(75.00%)、13(25.00%)、21(80.77%)、5(19.23%),两组间比较有显著性统计学差异。[结论]孤立性肺结节患者以周围型肺癌及结核球居多,诊断以CEA、薄层CT扫描、经皮穿刺肺活检术为主要手段。

[Objective ] To analyze the clinical features and diagnosis of 74 cases of solitary pulmonary nodule （SPN）.[ Methods ] Review analyses on the clinical feature,CT,Percutaneous needle biopsy for lung nodules, operation pathology of 74 SPN cases were described. [ Results ] CEA in 51 patients were positive（ 69% ） ,9 cases were positive on cellular diagnosis in sputum ,56 patients were diagnosed lung cancer by CT, Percutaneous needle biopsy were performed on ,42 patients were treated by operation, and 46 cases （62%） were virtued as lung cancer. [ Conclusion] Lung cancer and TB were the main diseases in SPN, and HRCT, Percutaneous needle biopsy, operation were the effective methods for the diagnoses of SPN.