低剂量螺旋CT在肺癌早期诊断中的应用

The Diagnosis Value of Spiral CT in Early Lung Cancer

目的:讨论低剂量螺旋CT在肺癌早期诊断中的价值。方法:选取2008年6月至2010年6月于我院体检中心体检行低剂量螺旋CT检查的252例体检者,分析他们的临床资料。结果:有56例体检者检出3mm以上肺结节,单发结节45例,多发11例。陈旧性钙化结节44例,非钙化结节12例,其中炎性病变6例,小细胞肺癌4例,肺腺癌1例,1例显示为条索状影。检出14例支气管病变,6例表现为支气管管壁增厚、管腔内壁不规则;4例表现为支气管管腔狭窄、闭塞;4例存在亚段支气管黏液栓。检出纵隔淋巴结42个,有8个直径超过1cm。结论:螺旋CT可提高对肺内非钙化小结节及支气管病变的检出率,可用于肺癌的早期诊断。

Objective： To investigate the diagnosis value of spiral CT in of early lung cancer.Method：252 people who got spiral CT during physical examination in Jun,2008 to Jun,2010 were involved in this research.Result：The diameter of more than 3mm was found in 56 persons,solitary nodule in 45 cases,and multiple in 11 cases.Non-calcified nodules were found in 12 persons,6 were inflammatory lesions,4 were small cell lung cancer,1 was lung adenocarcinoma and the last one showed cord-like video display.14 cases were detected bronchial lesions,6 cases showed bronchial wall thickening and the luminal wall was irregular,4 cases showed bronchial stenosis and occlusion,4 cases existed bronchial mucous plugs of subsegmental.There were 42 mediastinal lymph nodes and the diameter of 8 cases were more than 1cm.Conclusion：Spiral CT can be used in the early detection of lung cancer.