X线与CT在中央型肺癌诊断中的应用价值

Value of X-ray and CT in the Diagnosis of Central Lung Cancer

目的:刍议在中央型肺癌诊断中分别应用X线与CT诊断的临床价值。方法:将63例我院(2015年8月-2019年4月)接收的中央型肺癌患者(经手术病理确诊)视为研究对象展开,对其均实施双肺CT扫描和胸部X线片检查,观察对比两种方法下中央型肺癌检出率以及肺门区肿块、综合淋巴结肿大、支气管腔内肿块的检测结果。结果:(1)63例患者中,CT扫描确诊中央型肺癌共48例,中央型肺癌检出率为76.1%。X线胸片确诊中央型肺癌共35例,检出率为55.5%。CT扫描诊断在中央型肺癌检出率方面更具优势,P<0.05。(2)63例患者中,CT扫描后肺门区肿块、综合淋巴结肿大、支气管腔内肿块患者分别有53例、48例、60例,占比分别为84.1%、76.1%、95.2%。X线胸片方式下肺门区肿块、综合淋巴结肿大、支气管腔内肿块患者分别有42例、32例、48例,占比分别为66.6%、50.7%、76.1%。可见,比较肺门区肿块、综合淋巴结肿大以及支气管腔内肿块的诊断率,CT扫描明显较高,P<0.05。结论:在中央型肺癌的诊断中实施CT扫描和X线胸片检查均具有一定效果,但就准确率而言,CT扫描更具优势,加之CT扫描分辨率高,因此临床参考价值较大,值得推广。

Objective:To discuss the clinical value of X-ray and CT diagnosis in the diagnosis of central lung cancer.Methods:Sixty-three patients with central lung cancer(confirmed by surgery and pathology)received in our hospital(August 2015-April 2019)were taken as the research subjects,and both lung CT scans and chest X-ray examinations were performed on them.Observe and compare the detection rate of central lung cancer and the detection results of hilar area mass,comprehensive lymphadenopathy,and bronchial mass under the two methods.Results:(1)Of the 63 patients,48 were diagnosed with central lung cancer by CT scan,and the detection rate of central lung cancer was 76.1%.A total of 35 patients with central lung cancer were confirmed by X-ray chest radiography,with a detection rate of 55.5%.CT scan diagnosis has more advantages in the detection rate of central lung cancer,P<0.05.(2)Among the 63 patients,there were 53 patients,48 patients,and 60 patients with hilar masses,comprehensive lymphadenopathy,and intrabronchial masses after CT scans,accounting for 84.1%,76.1%,and 95.2%,respectively.There were 42 patients,32 patients,and 48 patients with hilar masses,comprehensive lymphadenopathy,and intrabronchial masses under the X-ray chest radiograph method,accounting for66.6%,50.7%,and76.1%,respectively.It can be seen that compared with the diagnosis rate of hilar mass,comprehensive lymphadenopathy and bronchial lumen mass,the CT scan was significantly higher,P<0.05.Conclusion:Both CT scan and chest X-ray examination have certain effects in the diagnosis of central lung cancer.However,in terms of accuracy,CT scan has more advantages.In addition,the CT scan has high resolution,so it has great clinical reference value.Worth promotion.