螺旋CT对肺癌的诊断分析

Analysis of Spiral CT in Diagnosis of Lung Cancer

目的分析肺癌实施螺旋CT诊断的方法和结果。方法方便选取该院收治的55例疑似肺癌患者,纳入时间为2011年6月—2016年6月。采用双层螺旋CT扫描机,对患者从肺尖到肺底一次完成扫描,处理图像后由2名经验丰富的医师进行阅片。观察CT诊断结果,对比不同性质病灶的CT征象。结果病理诊断和CT诊断对肺癌的检出率分别为76.4%、81.8%,对比差异无统计学意义(P<0.05)。肺癌病灶以不规则形态(53.3%)、非实性结节(64.4%)、毛刺状边缘(82.2%)为主,和良性病变相比差异有统计学意义(P<0.05)。结论螺旋CT诊断肺癌效果确切,能准确判断出病灶的性质,为临床治疗提供依据,值得推广。

Objective To analyze the method and results of spiral CT in diagnosis of lung cancer. Methods 55 cases of patients suspected with lung cancer admitted and treated in our hospital from June 2011 to June 2016 were conveniently selected and the patients were scanned from apex pulmonis to basis pulmonis, and the films were read by two experienced doctors and the CT diagnostic results were observed and the CT signs of different lesions were compared. Results The test rate of pathology and CT in diagnosis of lung cancer was respectively 76.4% and 81.8%, and the difference was obvious(P<0.05), and the lung cancer lesions were mainly irregular shape(53.3%), non-solid nodules(64.4%) and prickly edges(82.2%), and the difference was obvious compared with benign lesions and the differences were statistically significant(P<0.05). Conclusion The effect of spiral CT in diagnosis of lung cancer is definite, which can accurately determine the performance of lesions thus providing basis for the clinical treatment, and it is worth promotion.