CT诊断前纵膈占位性病变的价值分析

Study on CT Value in Diagnosis of Anterior Mediastinum Space Occupying Lesions

目的：对CT诊断前纵隔占位性病变的临床价值进行分析。方法选取于2014年3月～2014年11月期间在我院接受治疗的41例前纵隔占位性病变患者的CT检查结果进行回顾性分析，并与病理学检查结果进行比较。结果本组的41患者均经病理学证实为前纵隔占位性病变，而CT诊断中有39例患者为前纵隔占位性病变，其余2例患者因发生部位比较特殊并且临床病史不典型而导致误诊，则CT诊断的正确率为95.1%。结论 CT诊断前纵隔占位性病变具有十分重要的临床价值，能够对纵隔占位病变的内部结构进行全面的观察，并且能够对其属实质性或囊性进行鉴别。

Objective CT value in diagnosis of anterior mediastinum space occupying lesions is to be analyzed.Methods Review and analyze CT diagnosis data selected from 41 patients of anterior mediastinum space occupying lesions who are received and treated in hospital from March 2014 to November 2014 and then compare diagnosis results to pathology results. Results All of 41 patients are diagnosed to be of anterior mediastinum space occupying lesions by pathology; however, 39 out of 41 patients are diagnosed to be of anterior mediastinum space occupying lesions by CT diagnosis, the other 2 patients are diagnosed mistakenly due to special lesions place and untypically medical history with a diagnosis accuracy of 95.1%.Conclusion CT examination is of significant clinical value in diagnosis of anterior mediastinum space occupying lesions, it is conducive to overall observation on internal structure of anterior mediastinum space occupying lesions and identifying its substantive and cystic features;thus, CT diagnosis is of clinical application value in nature identiifcation of anterior mediastinum space occupying lesions and treatment method selection before surgery.