探讨64排螺旋CT检查在诊断纵隔型肺癌中的应用价值
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摘要
目的:探讨应用64排螺旋CT诊断纵隔型肺癌的效果。方法:回顾性分析本院2015年9月—2017年11月接收的56例纵隔型肺癌患者的临床诊断资料,诊断方法做好采用64排螺旋CT进行平扫及增强扫描,将获得的影像结果交由两名具有资深的影像学医师进行分析,分析CT诊断结果。结果:CT影像学显示56例纵隔型肺癌患者中,34例(60.71%)为中央型肺癌,患者的CT表现主要为肺门区团块或结节状软组织密度病变,增强扫描可见肺门肿块;15例(26.79%)为周围性肺癌,CT表现为肿块与纵隔紧挨,边缘外灶不整齐可见毛刺;7例(12.50)为隐匿性肺癌,CT表现为纵隔部位存在广泛病灶并为结节状,增强扫描可见不均匀强化病灶。结论:临床中应用64排螺旋CT诊断纵隔型肺癌可准确诊断出肺癌类型与发病部位,值得推广应用。
Objective To investigate the effect of 64-slice spiral CT in the diagnosis of mediastinal lung cancer.Methods We retrospectively analyzed the clinical diagnostic data of 56 patients with mediastinal lung cancer received from our hospital from September 2015 to November 2017. The diagnostic methods were performed using plain spiral CT and 64-slice spiral CT scans. The results obtained will be obtained. Two senior imaging physicians were assigned for analysis and CT diagnosis results were analyzed.Results CT imaging showed that among 56 patients with mediastinal lung cancer,34(60.71%)had central lung cancer.The CT manifestations of the patients were mainly hilar masses or nodular soft tissue density lesions. The enhanced scan showed hilar masses. Fifteen cases(26.79%) were peripheral lung cancers. CT showed masses and mediastinal lesions. The rims were irregularly visible outside the margin;7 cases(12.50) were occult lung cancers. CT showed extensive lesions at the mediastinum. Ribbed, enhanced scans show inhomogeneous lesions.Conclusion 64-slice spiral CT in the diagnosis of mediastinal lung cancer can accurately diagnose the type and location of lung cancer. It is worthy of popularization and application.
Objective To investigate the effect of 64-slice spiral CT in the diagnosis of mediastinal lung cancer.Methods We retrospectively analyzed the clinical diagnostic data of 56 patients with mediastinal lung cancer received from our hospital from September 2015 to November 2017. The diagnostic methods were performed using plain spiral CT and 64-slice spiral CT scans. The results obtained will be obtained. Two senior imaging physicians were assigned for analysis and CT diagnosis results were analyzed.Results CT imaging showed that among 56 patients with mediastinal lung cancer,34(60.71%)had central lung cancer.The CT manifestations of the patients were mainly hilar masses or nodular soft tissue density lesions. The enhanced scan showed hilar masses. Fifteen cases(26.79%) were peripheral lung cancers. CT showed masses and mediastinal lesions. The rims were irregularly visible outside the margin;7 cases(12.50) were occult lung cancers. CT showed extensive lesions at the mediastinum. Ribbed, enhanced scans show inhomogeneous lesions.Conclusion 64-slice spiral CT in the diagnosis of mediastinal lung cancer can accurately diagnose the type and location of lung cancer. It is worthy of popularization and application.
引文
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