MSCT检查支气管动脉征象对肺部良恶性疾病的鉴别诊断价值

Differential Diagnosis Value of Signs of Bronchial Artery Examined by MSCT for Benign and Malignant Pulmonary Diseases

目的探究MSCT检查支气管动脉征象对肺部良恶性疾病的鉴别诊断价值。方法选取本院2015年4月至2018年8月收治的60例以肺部疾病来医院就诊的患者,收集患者临床及影像学资料。观察患者CT平扫及增强扫描的影像特点,与病理诊断结果进行比较;将支气管动脉按形态分为血管湖、成团、中断和迂曲,并记录患者相关征象。结果观察组可见病灶内支气管动脉的为24例,显示率为86.67%;对照组可见病灶内支气管动脉的为11例,显示率为36.67%,两组比较差异有统计学意义(P<0.05)。观察组可见病灶内支气管动脉的为26例,支气管动脉血管湖6例,成团6例,中断5例,迂曲9例;对照组病灶内支气管动脉的为11例,支气管动脉血管湖0例,成团1例,中断3例,迂曲7例,两组患者支气管动脉迂曲和中断比较差异无统计学意义(P>0.05),而血管湖和成团两组比较差异有统计学意义(P<0.05)。结论MSCT检查能够清晰地显示病灶内支气管动脉的形态,通过支气管动脉血管征象来确定病情,对肺部疾病良、恶性的鉴别诊断具有重要的意义和参考价值。

Objective To explore the differential diagnosis value of signs of bronchial artery examined by MSCT for benign and malignant pulmonary diseases.Methods 60 patients who came to the hospital for pulmonary disease from April 2015 to August 2018 were selected.The clinical and imaging data of patients were collected.The imaging features of CT scan and enhanced scan were observed and compared with pathological diagnosis results.The shape of bronchial arteries can be classified into vascular pooling,clusters,interruptions,and distortions.Record the relevant signs of the patient.Results 24 cases of the bronchial artery in the observation group were found in the lesion,the display rate was 86.67%,and 11 cases of the bronchial artery in the control group were found in the lesion,the display rate was 36.67%.The difference between the two groups was statistically significant(P<0.05).In the observation group,there were 26 cases with a bronchial artery in the lesion,including 6 cases with the shape of vascular pooling,6 cases with the shape of cluster,5 cases with the shape of interruption and 9 cases with the shape of distortion.In the control group,there were 11 cases with a bronchial artery in the lesion,including 0 cases with the shape of vascular pooling,1 case with the shape of cluster,3 cases with the shape of interruption,and 7 cases with the shape of distortion.There was no significant difference in the shape of distortion and interruption between the two groups(P>0.05),but the difference in the shape of vascular pooling and cluster between the two groups was statistically significant(P<0.05).Conclusion MSCT examination can clearly show the shape of bronchial artery in the lesion and determine the condition through vascular signs of the bronchial artery.It has important significance and reference value for the differential diagnosis of benign and malignant pulmonary diseases.