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目的探讨螺旋CT对于监测中央型肺癌术后局部复发及胸内淋巴结转移的价值。方法回顾性地对55例110人次中央型肺癌术后胸部增强螺旋CT资料进行分析。结果支气管残端或吻合口复发9例,12人次。胸内淋巴结26例33人次淋巴结短径≥1 cm,其中14例结合临床及CT诊断为淋巴结转移。结论对中央型肺癌术后复发的监测,螺旋CT是最好手段之一,但对肿大淋巴结性质的评价有一定局限性。
Objective To investigate the value of spiral CT in monitoring the local recurrence and intrathoracic lymph node metastasis in patients with central lung cancer. Methods Retrospective analysis of 55 cases of 110 cases of central lung cancer after thoracic enhanced spiral CT data analysis. Results of bronchial stump or anastomotic recurrence in 9 cases, 12 people. Twenty-six cases of intrathoracic lymph nodes had a diameter of 1 cm or more in lymph nodes, of which 14 cases were diagnosed as lymph node metastasis by clinical and CT. Conclusions Spiral CT is one of the best ways to monitor postoperative recurrence of central lung cancer, but there are some limitations on the evaluation of the characteristics of enlarged lymph nodes.