低剂量螺旋CT扫描在早期肺癌诊断中的应用价值

Value of Application of Low-dose Spiral CT Scanning in the Diagnosis of Early Lung Cancer

目的分析低剂量螺旋CT扫描在早期肺癌诊断中的应用价值。方法随机选取我医院2014年4月~2016年2月收治的69例肺癌患者作为研究对象,所有患者均通过术后病理诊断确诊为肺癌。术前所有患者分别接受X线胸片检查及低剂量螺旋CT检查,比较两组患者初诊肺癌诊断符合率。结果 CT检查初诊肺癌符合率92.75%,高于X线胸片78.26%,差异具有统计学意义,P〈0.05;CT检查下影像学特征为肺癌病灶累及气管、支气管等位置,部分患者病灶宽基底与气管、支气管壁相互连接,同时突入到管腔内。结论低剂量螺旋CT检查可发现早期肺癌病灶,对患者疾病早期接受治疗意义重大。

Objective Value of application of low-dose spiral CT scanning in the diagnosis of early lung cancer.Methods From April 2014 to February 2016,69 cases of lung cancer patients in our hospital were selected as the study object.All patients were diagnosed as lung cancer by postoperative pathological diagnosis.Before operation,all patients are respectively connected by X-ray examination and low-dose spiral CT examination,to compare diagnosis coincidence rate of two groups of patients with newly diagnosed lung cancer.Results The coincidence rate of initial diagnosis lung cancer diagnosed by CT was 92.75%,which was significantly higher than that by X-ray 78.26%,P〈0.05.CT imaging features for lung cancer lesions involving the trachea,bronchial position.In some patients with lesions with wide base and tracheal,bronchial wall is connected each other,meanwhile penetrate into the lumen.Conclusion Low-dose spiral CT examination can find lung cancer early lesions,patients with earlier stage disease received treatment is of great significance.