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目的探讨多层螺旋CT诊断周围型小肺癌的临床价值。方法 2010年8月至2012年8月期间济源市肿瘤医院诊治的28例周围型小肺癌患者全部进行多层螺旋CT扫描和横断薄层扫描,对分叶征、细支气管气相、血管集束征、胸膜凹陷征、棘突征、短毛刺征以及空泡征进行检测和分析。结果与横断薄层扫描相比,多层螺旋CT扫描明显提高了分叶征、细支气管气相、血管集束征、胸膜凹陷征以及空泡征的检出率,差异有统计学意义(P<0.05)。结论对于周围型小肺癌,多层螺旋CT扫描定位准确,能够为临床诊断提供客观的参考依据,具有重要的临床诊断价值。
Objective To investigate the clinical value of multi-slice spiral CT in the diagnosis of peripheral small lung cancer. Methods Twenty-eight patients with peripheral small lung cancer who were diagnosed and treated in Jiyuan Cancer Hospital from August 2010 to August 2012 were all performed multi-slice spiral CT scan and transection thin-section scan. The results of lobectomy, bronchial gas phase, Pleural depression sign, spinous process sign, short burr sign and vacuole sign for detection and analysis. Results Compared with transection thin-section scanning, the multi-slice spiral CT scan obviously improved the detection rate of leaflet sign, bronchioles, bundles of signs of blood vessels, pleural indentation and vacuolar sign, the difference was statistically significant (P <0.05 ). Conclusion For small peripheral lung cancer, multi-slice spiral CT scan positioning accuracy, can provide an objective reference for clinical diagnosis, has important clinical diagnostic value.