X线与CT在中央型肺癌诊断中的应用价值
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摘要
目的探讨X线与CT诊断中央型肺癌的影像学特点和临床价值。方法选取我院2015年12月~2016年9月诊治的53例中央型肺癌患者作为研究对象,对其分别实施X线与CT诊断,比较X线、CT对中央型肺癌的诊断准确率,并评估X线、CT诊断中央型肺癌的影像学特征。结果 CT对于中央型肺癌类型的诊断准确率为96.23%,高于X线的84.91%,差异有统计学意义(P<0.05)。CT对中央型肺癌位置的诊断准确率为100.00%,高于X线的88.68%,差异有统计学意义(P<0.05)。结论 X线与CT诊断中央型肺癌的影像学特点明显,但CT对中央型肺癌的诊断准确率高于X线,建议临床医师在使用X线诊断中央型肺癌可疑时,可经CT予以进一步确诊,提升其临床诊断价值,值得推广应用。
Objective To investigate the imaging features and clinical value of X-ray and CT in the diagnosis of central lung cancer.Methods 53 patients with central lung cancer who were diagnosed and treated from December 2015 to September 2016 in our hospital were selected as the study subjects.X-ray and CT diagnosis were performed respectively,and the diagnostic accuracy of X-ray and CT on the central lung cancer was compared.The imaging features of Xray and CT in the diagnosis of central lung cancer was evaluated.Results The diagnostic accuracy of type of central type lung cancer in CT diagnosis was 96.23%,which was higher than 84.91% in X-ray diagnosis,with significant difference (P<0.05).The diagnostic accuracy of location of central type lung cancer in CT diagnosis was 100.00%,which was higher than 88.68% in X-ray diagnosis,with significant difference(P<0.05).Conclusion The imaging features of X-ray and CT in the diagnosis of central lung cancer are significant,but the diagnostic accuracy of CT in the diagnosis of central type lung cancer is higher than that of X-ray.It is suggested that clinicians,when suspected of the central lung cancer via the diagnosis of X ray,further confirm the diagnosis by CT,so as to enhance its clinical diagnostic value,which is worthy of promotion and application.
Objective To investigate the imaging features and clinical value of X-ray and CT in the diagnosis of central lung cancer.Methods 53 patients with central lung cancer who were diagnosed and treated from December 2015 to September 2016 in our hospital were selected as the study subjects.X-ray and CT diagnosis were performed respectively,and the diagnostic accuracy of X-ray and CT on the central lung cancer was compared.The imaging features of Xray and CT in the diagnosis of central lung cancer was evaluated.Results The diagnostic accuracy of type of central type lung cancer in CT diagnosis was 96.23%,which was higher than 84.91% in X-ray diagnosis,with significant difference (P<0.05).The diagnostic accuracy of location of central type lung cancer in CT diagnosis was 100.00%,which was higher than 88.68% in X-ray diagnosis,with significant difference(P<0.05).Conclusion The imaging features of X-ray and CT in the diagnosis of central lung cancer are significant,but the diagnostic accuracy of CT in the diagnosis of central type lung cancer is higher than that of X-ray.It is suggested that clinicians,when suspected of the central lung cancer via the diagnosis of X ray,further confirm the diagnosis by CT,so as to enhance its clinical diagnostic value,which is worthy of promotion and application.
引文
[1]林辉,苏香花.CT引导下125I粒子植入联合支气管动脉灌注化疗栓塞治疗晚期非小细胞肺癌的效果观察[J].中国当代医药,2017,24(5):51-54.
[2]张春节,姜维美,韩磊,等.晚期非小细胞肺癌中ERCC1、β-tubulin3及TOPOⅡ的表达与临床病理特征及铂类化疗疗效的关系[J].中国当代医药,2016,23(35):7-10.
[3]郭昊,左敬全,党亚正,等.X线胸片与CT扫描在中央型肺癌诊断中的对比研究[J].中国医药导报,2013,10(34):160-162.
[4]Jiménezbonilla JF,Quirce R,Martínezrodríguez I,et al.The role of PET/CT molecular imaging in the diagnosis of recurrence and surveillance of patients treated for non-small cell lung cancer[J].Diagnostics,2016,6(4):36.
[5]崔华子,陈爱林,叶永强,等.CT引导穿刺亚厘米肺小结节放置手工钢丝钩定位在胸腔镜手术中的应用[J].中国当代医药,2016,23(3):71-74.
[6]李琦,黄兴涛,罗天友,等.Ⅰ期中央型肺癌与支气管播散性肺结核CT树芽征的比较分析[J].中国医学影像学杂志,2016,24(12):930-933.
[7]靳仓正,姚吕祥,陈秋艳,等.MSCT动态增强扫描及三维重建对中央型肺癌并支气管阻塞的诊断价值[J].中国CT和MRI杂志,2014,11(1):14-16.
[8]李琦,罗天友,黄兴涛,等.临床Ⅰ期中央型肺癌CT继发征象及其演变规律[J].中国医学影像技术,2016,32(12):1876-1880.
[9]张可,柳少光,张建华,等.CT脑灌注成像评价创伤弥漫性脑肿胀非手术治疗前后脑血流动力学改变[J].中国当代医药,2016,23(35):25-27,36.
[10]谭国光,欧艳荘,何瑞成.多层螺旋CT与胸部X线诊断早期肺癌的应用对比分析[J].中国医药科学,2017,7(3):126-129.
[11]苏雪娟,马文伟,李运奇,等.双源CT增强扫描在判断中央型肺癌周围侵犯中的价值[J].现代医用影像学,2016,25(1):50-52.
[12]段海峰,贾永军,于勇,等.能谱CT单能量图像在诊断中央型肺癌与阻塞性肺实变中的价值[J].陕西医学杂志,2016,45(1):16-18.
[13]孙惠玉,朴相茂,李相国,等.CT引导下经皮肺穿刺活检在中央型肺癌诊断中的应用[J].中国现代医生,2014,52(16):87-89.
[14]胡桂珍,李伟强,毛晓莲,等.双排螺旋CT平扫在诊断中央型肺癌中的临床应用[J].国际医药卫生导报,2015,21(9):1282-1284.
[15]谭国光,欧艳荘,何瑞成.X线与CT平扫联合三维重建检查在胫骨平台骨折诊断中的应用价值比较[J].中国当代医药,2017,24(12):110-112.
[16]逄鑫,王宝华.对比CT与X线胸片放射诊断的方法鉴别良性肿瘤与肺癌的效果分析[J].临床医药文献电子杂志,2016,3(54):10802-10803.
[17]Sun T,Wang J,Li X,et al.Comparative evaluation of support vector machines for computer aided diagnosis of lung cancer in CT based on a multi-dimensional data set[J].Comput Methods Programs Biomed,20 13,111(2):519-524.
[2]张春节,姜维美,韩磊,等.晚期非小细胞肺癌中ERCC1、β-tubulin3及TOPOⅡ的表达与临床病理特征及铂类化疗疗效的关系[J].中国当代医药,2016,23(35):7-10.
[3]郭昊,左敬全,党亚正,等.X线胸片与CT扫描在中央型肺癌诊断中的对比研究[J].中国医药导报,2013,10(34):160-162.
[4]Jiménezbonilla JF,Quirce R,Martínezrodríguez I,et al.The role of PET/CT molecular imaging in the diagnosis of recurrence and surveillance of patients treated for non-small cell lung cancer[J].Diagnostics,2016,6(4):36.
[5]崔华子,陈爱林,叶永强,等.CT引导穿刺亚厘米肺小结节放置手工钢丝钩定位在胸腔镜手术中的应用[J].中国当代医药,2016,23(3):71-74.
[6]李琦,黄兴涛,罗天友,等.Ⅰ期中央型肺癌与支气管播散性肺结核CT树芽征的比较分析[J].中国医学影像学杂志,2016,24(12):930-933.
[7]靳仓正,姚吕祥,陈秋艳,等.MSCT动态增强扫描及三维重建对中央型肺癌并支气管阻塞的诊断价值[J].中国CT和MRI杂志,2014,11(1):14-16.
[8]李琦,罗天友,黄兴涛,等.临床Ⅰ期中央型肺癌CT继发征象及其演变规律[J].中国医学影像技术,2016,32(12):1876-1880.
[9]张可,柳少光,张建华,等.CT脑灌注成像评价创伤弥漫性脑肿胀非手术治疗前后脑血流动力学改变[J].中国当代医药,2016,23(35):25-27,36.
[10]谭国光,欧艳荘,何瑞成.多层螺旋CT与胸部X线诊断早期肺癌的应用对比分析[J].中国医药科学,2017,7(3):126-129.
[11]苏雪娟,马文伟,李运奇,等.双源CT增强扫描在判断中央型肺癌周围侵犯中的价值[J].现代医用影像学,2016,25(1):50-52.
[12]段海峰,贾永军,于勇,等.能谱CT单能量图像在诊断中央型肺癌与阻塞性肺实变中的价值[J].陕西医学杂志,2016,45(1):16-18.
[13]孙惠玉,朴相茂,李相国,等.CT引导下经皮肺穿刺活检在中央型肺癌诊断中的应用[J].中国现代医生,2014,52(16):87-89.
[14]胡桂珍,李伟强,毛晓莲,等.双排螺旋CT平扫在诊断中央型肺癌中的临床应用[J].国际医药卫生导报,2015,21(9):1282-1284.
[15]谭国光,欧艳荘,何瑞成.X线与CT平扫联合三维重建检查在胫骨平台骨折诊断中的应用价值比较[J].中国当代医药,2017,24(12):110-112.
[16]逄鑫,王宝华.对比CT与X线胸片放射诊断的方法鉴别良性肿瘤与肺癌的效果分析[J].临床医药文献电子杂志,2016,3(54):10802-10803.
[17]Sun T,Wang J,Li X,et al.Comparative evaluation of support vector machines for computer aided diagnosis of lung cancer in CT based on a multi-dimensional data set[J].Comput Methods Programs Biomed,20 13,111(2):519-524.