中央型小细胞肺癌和鳞癌的多层螺旋CT表现分析

Analysis of Multi Slice Spiral CT in Central Type Small Cell Lung Cancer and Squamous Cell Carcinoma

目的 对中央型小细胞肺癌和鳞癌的多层螺旋CT表现进行分析探讨,为今后的临床诊断工作,提供有价值的参考信息。方法 选择2014年8月~2015年5月我院收治的获得明确诊断的,中央型小细胞肺癌与鳞癌患者共计48例作为研究对象,对其展开多层螺旋CT检查,并对检查资料展开回顾性分析。结果 观察发现,中央型小细胞肺癌患者的胸膜腔存在积液、远处有转移、支气管狭窄无阻塞、心脏大血管受到侵害、肺叶发生实变、纵隔肺门淋巴结肿大、淋巴结融合发生率较鳞癌患者高（P〈0.05）;对比发现,两组患者心包腔积液、胸膜结节、支气管不全性阻塞、肺不张发生率比较,差异无统计学意义（P〉0.05）。鳞癌患者肿瘤不均匀强化、坏死、支气管闭塞发生率较中央型小细胞肺癌高（P〈0.05）。结论 中央型小细胞肺癌、鳞癌患者的多层螺旋CT表现存在一定差异,综合分析,可做出准确鉴别。

Objective Purpose of center type small cell lung cancer and sqtlamous cell carcinoma of the multislice spiral CT findings were analyzed for filture clinical work, providing valuable reference infonuation. Methods From August 2014 to May 2015, our hospital access to diagnosis, central small cell lung cancer in patients with squanlous cell carcinoma of 48 cases studied, the multi-slice spiral CT examination and check the information retrospectively. Results Observed that patients with central type small cell lung cancer pleural cavity, effusion, distant have transfer, bronchial stenosis, non blocking, heart and great vessels have been infi-inged, lobar occur consolidation, mediastinal and hilar lymph nodes, lymph node fusion rate is high in patients with squamous cell carcinoma （ P 〈 0.05 ）, the difference was not statistically significant （ P 〉 0.05 ） in two groups of patients with pericardial effuusion, pleural nodules, bronchial obstruction, and the incidence of lung failure. The incidence of non homogeneous enhancement, necrosis and bronchial occlusion in patients with squamous cell carcinoma was higher than that of central type small cell lung cancer （P 〈 0.05 ） . Conclusion There arc some differences in the performance of multi slice spiral CT in the patients with central type small cell lung cancer and squamons cell carcinoma.