肺孤立性小结节的HRCT诊断与病理对照分析
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摘要
目的肺孤立性小结节患者通过HRCT进行诊断,将效果与患者的病理情况进行比较,从而将HRCT的诊断结果的准确度进行体现,从而对HRCT的诊断价值进行评价。方法该次研究,从该院在2014年3月—2018年3月,4年时间内收治的肺孤立性小结节患者中随机抽取出50例患者,进行试验研究,将其当成该次研究的研究对象,对其进行病理检查,以及HRCT诊断,将病理检查结果与HRCT的诊断结果进行比较分析,从而评价HRCT对于肺孤立性小结节患者的诊断价值,为临床中提供有力的诊断依据。结果 50例患者通过病理检查,得到的结果为:患者的恶性结节情况为:11例患者表现为鳞癌,11例患者表现为腺癌,1例患者表现为类癌,恶性结节的诊断率:46.0%,通过HRCT诊断得到的结果为:患者的恶性结节情况为:10患者表现为鳞癌,10例患者表现为腺癌,7例患者表现为类癌,恶性结节的诊断率为:54.0%,各种癌症的诊断人数与病理结果,差异有统计学意义(χ2=15.134 6,P>0.05);病理检查患者的良性结节情况为:表现为结核球的患者为12例,表现为炎性结节的患者有13例,表现为周围性肺气肿的患者有2例,HRCT的诊断后良性结节情况为:表现为结核球的患者为9例,表现为炎性结节的患者有10例,表现为周围性肺气肿的患者有4例,两种检查结果的比较差异有统计学意义(χ2=15.012 4,P<0.05)。结论通过HRCT对肺孤立性小结节患者进行诊断,可以得到显著的、准确的诊断准确率,值得在临床中进行应用。
Objective Patients with isolated pulmonary nodules were diagnosed by HRCT, and the results were compared with the pathological conditions of patients, so that the accuracy of HRCT diagnosis results was reflected, and the diagnostic value of HRCT was evaluated. Methods In this study, the author randomly selected 50 patients from our hospital for patients with solitary pulmonary nodules who were admitted to our hospital from March 2014 to March2018, and conducted a trial study. The subjects of the study, pathological examination, and HRCT diagnosis, the pathological examination results were compared with the diagnosis results of HRCT, to evaluate the diagnostic value of HRCT for patients with small solitary pulmonary nodules, and provide a basis for powerful clinical diagnose. Results The pathological examination of 50 patients showed that the malignant nodules of the patients were: 11 patients showed squamous cell carcinoma, 11 patients showed adenocarcinoma, and 1 patient showed carcinoid, malignant nodules diagnostic rate: 46.0%, the results obtained by HRCT diagnosis were: the patient's malignant nodules were: 10 patients with squamous cell carcinoma, 10 patients with adenocarcinoma, 7 patients with carcinoid, diagnosis of malignant nodules rate was 54.0%. The number of diagnosed cancers and pathological results was statistically significant(χ2=15.134 6,P>0.05). The benign nodules of patients with pathological examination were: 12 patients with tuberculosis, 13 patients with inflammatory nodules and 2 patients with peripheral emphysema. The benign nodules after HRCT diagnosis were:9 patients with tuberculosis, showing inflammation, 10 patients with sexual nodules and 4 patients with peripheral emphysema. The difference between the two examination results was statistical significant(χ2=15.012 4,P <0.05). Conclusion The diagnosis of patients with solitary pulmonary nodules by HRCT can obtain significant and accurate diagnostic accuracy, which is worthy of clinical application.
Objective Patients with isolated pulmonary nodules were diagnosed by HRCT, and the results were compared with the pathological conditions of patients, so that the accuracy of HRCT diagnosis results was reflected, and the diagnostic value of HRCT was evaluated. Methods In this study, the author randomly selected 50 patients from our hospital for patients with solitary pulmonary nodules who were admitted to our hospital from March 2014 to March2018, and conducted a trial study. The subjects of the study, pathological examination, and HRCT diagnosis, the pathological examination results were compared with the diagnosis results of HRCT, to evaluate the diagnostic value of HRCT for patients with small solitary pulmonary nodules, and provide a basis for powerful clinical diagnose. Results The pathological examination of 50 patients showed that the malignant nodules of the patients were: 11 patients showed squamous cell carcinoma, 11 patients showed adenocarcinoma, and 1 patient showed carcinoid, malignant nodules diagnostic rate: 46.0%, the results obtained by HRCT diagnosis were: the patient's malignant nodules were: 10 patients with squamous cell carcinoma, 10 patients with adenocarcinoma, 7 patients with carcinoid, diagnosis of malignant nodules rate was 54.0%. The number of diagnosed cancers and pathological results was statistically significant(χ2=15.134 6,P>0.05). The benign nodules of patients with pathological examination were: 12 patients with tuberculosis, 13 patients with inflammatory nodules and 2 patients with peripheral emphysema. The benign nodules after HRCT diagnosis were:9 patients with tuberculosis, showing inflammation, 10 patients with sexual nodules and 4 patients with peripheral emphysema. The difference between the two examination results was statistical significant(χ2=15.012 4,P <0.05). Conclusion The diagnosis of patients with solitary pulmonary nodules by HRCT can obtain significant and accurate diagnostic accuracy, which is worthy of clinical application.
引文
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[8]李辉,阚晓婧,宁培刚,等.HRCT常见恶性征象对孤立性肺结节的定性诊断[J].放射学实践,2014(12):1405-1408.
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[2]刘晨鹭,蔡庆,沈玉英,等.微小磨玻璃结节样肺腺癌HRCT与病理新分类对照分析[J].临床放射学杂志,2018(5):126-127.
[3]王青乐,张志勇,施裕新.活动性肺结核的HRCT诊断[J].放射学实践,2013,28(12):1294-1295.
[4]柏义生.HRCT在肺孤立结节随访中的应用价值[J].现代诊断与治疗,2015,26(15):3465-3466.
[5]刘群星,郭建,田路,等.SMCT探讨肺磨玻璃结节与支气管的关系及病理对照[J].中国医疗器械信息,2018(6):5-7.
[6]冯金娟,葛春峰,潘交海.周围型肺鳞癌HRCT表现与Ki-67表达分析[J].现代实用医学,2017(10):61-62,151.
[7]黎金葵,闫坤,杨品,等.PET/CT结合HRCT诊断孤立性肺结节的应用价值:Meta分析[J].中国CT和MRI杂志,2017(1):156-157.
[8]李辉,阚晓婧,宁培刚,等.HRCT常见恶性征象对孤立性肺结节的定性诊断[J].放射学实践,2014(12):1405-1408.
[9]周凤翔.肺内孤立结节病灶的CT诊断[J].中国处方药,2015(1):118-119.
[10]冯庆智,龙世亮,黄广.肺孤立性小结节的HRCT诊断与病理对照分析[J].影像技术,2015(2):42-44.