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编号:12095108
肺内结块CT诊断与鉴别诊断
http://www.100md.com 2011年4月25日 《中国实用医药》 2011年第12期
     【摘要】 目的 探讨肺内结块的病理基础及在良、恶性鉴别诊断中的价值。方法 搜集经手术切除经病理证实的肺内结块,肺癌(24例)、结核瘤(3例)、炎性假瘤(6例)、具有毛刺CT征结块33例,均采用螺旋CT扫描并结合组织学病理所见,观察和评价毛刺CT征。结果 33例毛刺征按其长度通常一般可分为两类:①短毛刺征(25例),其中(22例)为恶性,3例为良性病变。②长毛刺征8例,其中6例为良性病变,2例为恶性。结论 毛刺征是诊断肺恶性肿瘤的征象之一,尤以短毛刺征诊断价值最为重要,该征出现若结合结块的其他特征和临床表现,则可提高对肺恶性肿瘤的诊断的准确率。

    【关键词】

    肺内结块;螺旋CT;鉴别诊断

    

    【Abstract】 Objective To explore the lungs isolation agglomerate spines levy the pathology base and the benign and m alignant differential diagnosis of value.Methods Ccollected by resection confirmed by pathology of the lungs isolation agglomerate, lung cancer (24 cases), tuberculosis tumor (3 cases), inflammatory pseudotumor (6 cases), had the burr CT levy agglomerate 33 cases, all used spiral CT scan and combining histological pathology saw, observation and evaluation burr CT of duty. Results In 33 patients burr levied according to its length usually can generally be divided into two categories:① short burr levy (8 cases), including (22 cases) for m alignant, 3 cases of benign lesions. ②long burr levied in 8 cases, including six cases of benign lesions, 2 cases were m alignant. Conclusion Burr levy is diagnostic pulmonary m alignant tumor of the sign, especially with short burr levy diagnostic value is most important, this levy appear if combined with agglomerate of other characteristics and clinical expression, it can improve the diagnosis of pulmonary m alignant tumor of accuracy. ......

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