多层螺旋CT联合MRI在原发性肺癌患者中的诊断效果及临床治疗指导价值研究

Multi-slice Spiral CT Combined with MRI in the Diagnosis of Primary Lung Cancer Patients and Clinical Treatment Guidance Value Research

目的性肺癌患者中的诊断效果及临床治疗指导价值。方法搜集整理本院2014年3月至2019年10月83例原发性肺癌患者的影像资料,所有患者经多层螺旋CT、MRI进行初步检查,最终确诊依据为手术病理组织学检查“金标准”,并将多层螺旋CT、MRI影像诊断结果与手术病理组织学检查结果进行比对;分析多层螺旋CT联合MRI在原发性肺癌患者中的诊断、治疗效能。结果83例原发性肺癌患者均经手术病理组织学检查确诊,其中小细胞肺癌25例,非小细胞肺.癌58例;CT检查最终确诊64.例,诊断符合率为7711%;MRI诊断符合率为90.36%;多层螺旋CT联合MRI检查诊断符合率为9639%;综上相对单一CT/MRI检查,多层螺旋CT联合MRI在原发性肺.癌患者诊疗中的敏感性、特异性具有明显优势(P<005)。结论多层螺旋CT联合MRI用于原发性肺癌的影像诊断具有较高的诊断效能,为临床早期拟定精准治疗方案提供可靠影像学依据,提高患者预后,值得日常推广应用。

Objective To investigate the value of multi-slice spiral CT combined with MRI in the diagnosis and clinical treatment of primary lung cancer. Methods The imaging data of 83 patients with primary lung cancer in our hospital from March 2014 to October 2019 were collected. All patients underwent preliminary examination of multi-slice spiral CT and MRI. The final diagnosis was based on surgical histopathology(gold standard), and the diagnostic results of multi-slice spiral CT and MRI were compared with those of surgical histopathology;Objective to analyze the effect of multi-slice spiral CT combined with MRI in the diagnosis and treatment of primary lung cancer. Results 83 cases of primary lung cancer were confirmed by surgery and pathology, 64 cases were diagnosed by CT, and the diagnostic coincidence rate was 77.11%;The diagnostic coincidence rate of MRI was 90.36%;The diagnostic coincidence rate of multi-slice spiral CT and MRI was 96.39%;The combination of multi-slice spiral CT and MRI has obvious advantages in the sensitivity and specificity of diagnosis and treatment of primary lung cancer compared with single CT/MRI(P<0.05). Conclusion multi-slice spiral CT combined with MRI has high diagnostic efficiency in the imaging diagnosis of primary lung cancer, provides a reliable imaging basis for early formulation of accurate treatment plan, and improves the prognosis of patients. It is worthy of daily promotion and application.