多排螺旋CT在肺磨玻璃结节鉴别诊断中的临床应用与效果评估

Clinical Application and Effect Evaluation of Multirow Spiral CT in Differential Diagnosis of Ground-Glass Nodules in the Lung

目的:探讨多排螺旋CT对肺磨玻璃结节的鉴别诊断应用价值。方法:选择2022年5月~2023年6月收治的200例病理证实为肺磨玻璃结节的患者为研究对象,回顾性分析其病历资料,分为良性组和恶性组,采取多排螺旋CT诊断,观察良性与恶性结节形态、边缘、内部特征、邻近结构征象和结节类型。结果:恶性组圆形/类圆形、分叶征、气泡征/空气支气管征、胸膜凹陷征、混合磨玻璃结节检出率高于良性组,对比差异有统计学意义(P<0.05)。结论:结合多排螺旋CT对GGN的影像学征象与病灶类型进行综合分析,能对GGN的良恶性作出正确判断。

Objective:To investigate the value of multirow spiral CT in differential diagnosis of ground-glass nodules.Methods:200 patients with pathologically confirmed pulmonary ground-glass nodules admitted from May 2022 to June 2023 were selected as the research objects,and their medical records were retrospectively analyzed and divided into benign group and malignant group.Multi-row spiral CT diagnosis was used to observe the morphology,margin,internal characteristics,adjacent structural signs and nodule type of benign and malignant nodules.Results:The detection rate of round/round,lobation,bubble/air bronchial sign,pleural depression and mixed ground-glass nodules were higher than that of benign group,and the comparative difference was significant(P<0.05).Conclusion:The comprehensive analysis of GGN with multi-row spiral CT can correctly judge the benign and malignant lesions of GGN.