I期肺腺癌与早期胸膜浸润的相关性

Correlation With Early Stage I Adenocarcinoma of The Pleura Invasion

目的通过多排高分辨CT来判断I期肺腺癌是否伴有早期胸膜侵润,辅助临床做出相应术式选择。方法收集41例经手术病理证实为I期肺腺癌的患者,用回顾性分析的方法来研究I期肺腺癌与早期胸膜浸润的相关性,评价指标有年龄、性别、吸烟史、病灶部位、密度、病灶长短径、病灶与胸膜距离。结果仅病灶与胸膜间距离在两组间存在明显统计学差异。结论肺内磨玻璃密度结节在CT三维重建后,测量其距胸膜的最小距离,可以作为判断是否有早期胸膜浸润的指标,进而为临床术式选择提供参考。

Objective To determine the existence of early invasion of pleura of stage I lung adenocarcinoma by plurality of rows of high resolution CT,to assist clinica to make corresponding surgery.MethodsCollect 41 stage I lung adenocarcinoma patients were confirmed by operation and pathology,to investigate the correlation between I lung adenocarcinoma and early invasion of pleura by retrospectively analyzed.The evaluating indicator including the age,sex,smoking history,lesion location,density of lesion,lesion size,and distance from lesion to pleura.Results Only the distance from lesion to pleura in between two groups were significant.Conclusion Pulmonary ground glass nodules after the CT 3D reconstruction,measure the minimum distance from nodules to pleura,can be used as judge index whether exist early invasion of pleura,and then to provide the reference for the clinical operation mode selection.