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目的分析小细胞肺癌的CT表现。方法对36例临床手术、支气管镜检或穿刺活检经病理确诊为小细胞肺癌的患者回顾性分析其CT表现,利用薄层CT重建及多平面重组(MPR)技术做图像后处理。结果 CT表现:中央型24例,周围型12例,局限期14例,广泛期22例,合并纵隔肺门淋巴结转移15例,肺动脉浸润及梗死2例。结论多层螺旋CT小细胞肺癌有较高的临床诊断价值。
Objective To analyze the CT findings of small cell lung cancer. Methods The CT findings of 36 patients with small cell lung cancer diagnosed by clinical operation, bronchoscopy or biopsy were analyzed retrospectively. Image post-processing was performed by thin-layer CT reconstruction and multiplanar reorganization (MPR). Results The CT manifestations included 24 cases of central type, 12 cases of peripheral type, 14 cases of limited period and 22 cases of extensive period. There were 15 cases of mediastinal hilar lymph node metastasis, 2 cases of pulmonary infiltration and infarction. Conclusion Multi-slice spiral CT small cell lung cancer has higher clinical diagnostic value.