64排螺旋CT在纵隔型肺癌诊断中的应用价值

Application value of 64-slice spiral CT in the diagnosis of mediastinal lung cancer

目的分析64排螺旋CT在纵隔型肺癌诊断中的应用价值。方法选取2016年2月~2017年2月我院收治的50例疑似纵隔型肺癌的患者作为研究对象,所有患者均行64排螺旋CT检查,并以术后病理结果作为诊断金标准。分析64排螺旋CT检查的诊断敏感度、特异度和准确性;同时分析64排螺旋CT检查对不同类型肺癌的检出率。结果 64排螺旋CT检查的诊断敏感度、特异度和准确性均相对较高,且与术后病理结果比较,差异无统计学意义(P>0.05);64排螺旋CT检查不同发病类型检出率与术后病理结果比较,差异无统计学意义(P>0.05)。结论64排螺旋CT在纵隔型肺癌诊断中的应用价值显著,具有较高的诊断敏感度、特异度和准确性,能够准确判别纵隔型肺癌的病情状况。

Objective To analyze the application value of 64-slice spiral computed tomography（CT） in the diagnosis of mediastinal lung cancer.Methods A total of 50 suspected patients with mediastinal lung cancer treated in our hospital from February 2016 to February 2017 were selected.All patients were performed with 64-slice spiral CT examinations.The postoperative pathological outcomes were used as the gold standard for diagnosis.The diagnostic sensitivity,specificity,and accuracy of 64-slice spiral CT were analyzed.The detection rate of 64-slice spiral CT for different types of lung cancer was also analyzed.Results The diagnostic sensitivity,specificity and accuracy of the 64-slice spiral CT examinations were relatively high,and there was no statistical difference compared with postoperative pathological findings（P〈0.05）.The detection rates of different types by 64-slice spiral CT examinations were not displayed statistical significance compared with those in postoperative pathological findings（P〈0.05）.Conclusion The application of 64-slice spiral CT in the diagnosis of mediastinal lung cancer is of great value.It has high diagnostic sensitivity,specificity and accuracy,and can accurately distinguish the status of mediastinal lung cancer.