肺结节CT性质、实体成分比例与病理学类型的相关性
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摘要
目的 :探讨肺结节CT性质、实体成分比例与病理学类型的相关性。方法 :根据病理学类型将2011年2月~2016年10月我院收治的260肺结节患者分为A组(35例)、B组(39例)、C组(65例)、D组(121例),其中A组为非典型腺瘤样增生患者、B组为原位腺癌患者、C组为微小浸润性腺癌患者、D组为腺癌患者,现比较4组患者的肺结节CT性质、实体成分比例。结果 :(1)4组研究对象单纯磨玻璃结节、混合磨玻璃结节、实性结节构成比相比差异有统计学意义。A组患者单纯磨玻璃结节构成比显著高于B组、C组、D组,B组患者单纯磨玻璃结节构成比显著高于C组、D组,C组与D组患者之间单纯磨玻璃结节构成比相比差异无统计学意义。4组研究对象之间混合磨玻璃结节构成比相比差异无统计学意义。A组、B组患者实性结节构成比显著低于C组、D组,A组与B组患者之间实性结节构成比相比差异无统计学意义,C组与D组患者之间实性结节构成比相比差异无统计学意义。(2)4组研究对象肺结节实体成分比例相比差异有统计学意义,A组、B组肺结节实体成分比例显著低于C组、D组,A组、B组患者之间肺结节实体成分比例相比差异无统计学意义,C组患者肺结节实体成分比例显著低于D组,差异有统计学意义。结论 :肺结节CT性质、实体成分比例与其病理学类型之间存在一定的相关性,影像学检查发现实性结节或者实体成分比例较高,其诊断为恶性肿瘤的可能性就较大。
Objective To study the relationship between the CT property of pulmonary nodules, the proportion of solid components and the type of pathology. Methods According to the pathological type of 260 patients with pulmonary nodules in February 2011-2016 year in October in our hospital were divided into A group(35 cases), B group(39 cases), C group(65 cases), D group(121 cases), A group for atypical adenomatous hyperplasia patients, B group of adenocarcinoma in situ patients in group C, micro invasive adenocarcinoma patients, D group of patients with adenocarcinoma, the comparison of the ratio of lung nodules on CT properties, the solid component of the 4 groups of patients. Results There were statistically significant differences between the 4 groups in the study of simple grinding glass nodule, mixed grinding glass nodule and solid nodule composition. A group of patients with pure ground glass nodules constituent ratio was higher than that in B group and C group, D group, B group treated with ground glass nodules was significantly higher than that of C group, D group proportion, C group and D group were between pure ground glass nodules compared to no significant proportion significance. There was no significant difference in the composition ratio of mixed grinding glass between the 4 groups. A group, B group of patients with solid nodule constituent ratio was significantly lower than that of C group and D group, A group and B group were between the solid nodule constituent ratio had no significant difference, C group and D group were between the solid nodule constituent ratio had no significant difference. There was statistical significance in the 4 groups of pulmonary nodules compared to the proportion of solid component differences, A group, B group the proportion of pulmonary nodules solid component was lower than that in C group and D group, no statistical significance between the A group and B group of patients with pulmonary nodules entity proportion difference, group C patients with pulmonary nodules entity component ratio was significantly lower than D group, the difference was statistically significant. Conclusion Objective to study the relationship between pulmonary nodules CT properties, the solid component proportion pathological type, imaging examination showed that solid nodules or solid component high proportion, the possibility of a diagnosis of malignant tumor is larger.
Objective To study the relationship between the CT property of pulmonary nodules, the proportion of solid components and the type of pathology. Methods According to the pathological type of 260 patients with pulmonary nodules in February 2011-2016 year in October in our hospital were divided into A group(35 cases), B group(39 cases), C group(65 cases), D group(121 cases), A group for atypical adenomatous hyperplasia patients, B group of adenocarcinoma in situ patients in group C, micro invasive adenocarcinoma patients, D group of patients with adenocarcinoma, the comparison of the ratio of lung nodules on CT properties, the solid component of the 4 groups of patients. Results There were statistically significant differences between the 4 groups in the study of simple grinding glass nodule, mixed grinding glass nodule and solid nodule composition. A group of patients with pure ground glass nodules constituent ratio was higher than that in B group and C group, D group, B group treated with ground glass nodules was significantly higher than that of C group, D group proportion, C group and D group were between pure ground glass nodules compared to no significant proportion significance. There was no significant difference in the composition ratio of mixed grinding glass between the 4 groups. A group, B group of patients with solid nodule constituent ratio was significantly lower than that of C group and D group, A group and B group were between the solid nodule constituent ratio had no significant difference, C group and D group were between the solid nodule constituent ratio had no significant difference. There was statistical significance in the 4 groups of pulmonary nodules compared to the proportion of solid component differences, A group, B group the proportion of pulmonary nodules solid component was lower than that in C group and D group, no statistical significance between the A group and B group of patients with pulmonary nodules entity proportion difference, group C patients with pulmonary nodules entity component ratio was significantly lower than D group, the difference was statistically significant. Conclusion Objective to study the relationship between pulmonary nodules CT properties, the solid component proportion pathological type, imaging examination showed that solid nodules or solid component high proportion, the possibility of a diagnosis of malignant tumor is larger.
引文
[1]张周芳,黄洁惠,邵国良.双源CT双能量成像在肺癌病理类型鉴别中的应用价值[J].肿瘤学杂志,2015,21(5):392-395.
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[7]彭明政,李钊,胡海洋,等.CT三维重建技术在肺磨玻璃结节诊断中的研究进展[J].现代生物医学进展,2016,16(22):4388-4392.
[8]李基根,符喻矗,聂世琨.多层螺旋CT对DR体检发现的无症状孤立性肺结节的诊断价值[J].中国医学装备,2015,12(8):74-78.
[9]贾群玲.CT与MRI诊断孤立性肺结节良恶性的准确性分析[J].中国CT和MRI杂志,2016,14(10):42-45.
[10]曾庆智,李亮平,黄妙永,等.多层螺旋CT对肺局灶性亚厘米磨玻璃结节的诊断价值[J].中华肺部疾病杂志(电子版),2016,9(4):405-408.
[11]谭四平,沈比先,高德宏,等.应用多层螺旋CT透视导引肺结节穿刺活检[J].湖南师范大学学报(医学版),2006,3(4):58-60.
[12]孟宪平,谢旭刚,朱建新,等.超高分辨率CT在肺部小结节诊断中的应用[J].实用临床医药杂志,2011,15(24):179-180.
[2]唐威,吴宁,欧阳汉,等.超高场强磁共振成像和多层螺旋CT扫描在非小细胞肺癌术前T分期中的应用价值[J].中华肿瘤杂志,2015,37(8):617-621.
[3]Su C,Meyer M,Pirker R,et al.From diagnosis to therapy in lung cancer:management of CT detected pulmonary nodules,a summary of the2015 Chinese-German Lung Cancer Expert Panel[J].Transl Lung Cancer Res,2016,5(4):377-388.
[4]潘江峰,邝平定,应明亮,等.肺部纯磨玻璃结节浸润性肺腺癌与浸润前病变的高分辨靶扫描CT鉴别诊断[J].浙江医学,2016,38(11):826-828,832.
[5]Brain K,Lifford KJ,Carter B,et al.Long-term psychosocial outcomes of low-dose CT screening:results of the UK Lung Cancer Screening randomised controlled trial[J].Thorax,2016,71(11):996-1005.
[6]顾晓雯,崔磊,江建芹,等.CT灌注成像评估肺癌疗效的研究进展[J].中华放射学杂志,2016,50(10):804-806.
[7]彭明政,李钊,胡海洋,等.CT三维重建技术在肺磨玻璃结节诊断中的研究进展[J].现代生物医学进展,2016,16(22):4388-4392.
[8]李基根,符喻矗,聂世琨.多层螺旋CT对DR体检发现的无症状孤立性肺结节的诊断价值[J].中国医学装备,2015,12(8):74-78.
[9]贾群玲.CT与MRI诊断孤立性肺结节良恶性的准确性分析[J].中国CT和MRI杂志,2016,14(10):42-45.
[10]曾庆智,李亮平,黄妙永,等.多层螺旋CT对肺局灶性亚厘米磨玻璃结节的诊断价值[J].中华肺部疾病杂志(电子版),2016,9(4):405-408.
[11]谭四平,沈比先,高德宏,等.应用多层螺旋CT透视导引肺结节穿刺活检[J].湖南师范大学学报(医学版),2006,3(4):58-60.
[12]孟宪平,谢旭刚,朱建新,等.超高分辨率CT在肺部小结节诊断中的应用[J].实用临床医药杂志,2011,15(24):179-180.