动静脉期CT扫描联合诊断右肺上叶肺癌及纵隔淋巴结转移的价值研究

Research on the Value of CT Dual-phase Scanning in the Diagnosis of Lung Cancer with Mediastinal Lymph Node Metastasis in Right Upper Lobe

目的探讨动静脉期CT扫描联合诊断右肺上叶肺癌及纵隔淋巴结转移的价值。方法回顾性分析2014年5月至2016年3月在本院进行影像检查并经手术病理确认的60例肺癌患者的临床资料和影像资料,同时对肿瘤的类型、强化程度及转移情况等病理特征进行归类分析。结果CT扫描结果显示:总确诊断率91.7%。各类型肺癌检查结果为:鳞癌型93.3%;腺癌型90%;小细胞癌93.3%,鳞腺混合癌90%。肺癌纵隔淋巴结转移确认率为90%。结论采用动静脉期CT扫描联合诊断右肺上叶肺癌及纵隔淋巴结转移临床疗效好,值得进一步推广和应用。

Objective To make a research on the value of CT draft-phase scauning in the diagnosis of lung cancer with mediastinal lymph node metastasis （MLNM） m right upper lobe. Methods To analyze the CT images of 60 patients with lung cancer identified by surgery from May 2014 to March 2016 in our hospital. At the same time, the types of tumor, the degree of enhancement and mediastinal lymph node metastasis were classified and analyzed. Results The results of analysis showed the total diagnostic rate was 91.7%. And the pathological types were as follows： the index of the squamous cell carcinoma is 93.3%, adenocarcinoma： 90%, small cell carcinoma： 93.3% and squamous adenocarcinoma： 90%. MLNM ofhlng cancer was confirmed as 90%. Conclusion The clinical effect of of CT dual-phase scanning in the diagnosis of lung cancer with MLNM is worthy to be further applied.