高分辨率CT诊断肺内孤立性结节的价值探讨

    Diagnostic value of high resolution CT in solitary pulmonary nodule

    • 摘要: 目的:探讨高分辨率CT(HRCT)诊断肺孤立性肺结节(SPN)的价值。方法:SPN 62例,其中周围型肺癌31例,转移瘤2例,良性SPN 29例,对不同病变结节的边缘形态和内在特征进行分析。结果:充分显示孤立性肺结节内的细微结构:分叶征37例,毛刺征30例,胸膜凹陷征50例,钙化征17例,血管集束征20例,支气管征15例。结论:HRCT能显示SPN内部结构,是区分良恶性SPN的有效方法。其中容积重建技术和多平面重建成像技术结合观察,能更好地观察病变的各种特征。

       

      Abstract: Objective:To evaluate the value of high resolution CT(HRCT) in diagnosing solitary pulmonary nodule(SPN). Methods:Sixty-two cases with SPN including 31 cases of peripheral lung cancer,29 cases of benign SPN and 2 cases of metastatic tumors were investigated. The border patterns and internal characters of different process nodus were analyzed. Results:The minute structures of SPN could be thoroughly displayed by HRCT. Lobulation signs in 37 cases, sentus signs in 30 cases, pleural indentation in 50 cases, calcification signs in 17 cases, blood vessel cluster in 20 cases and bronchus signs in 15 cases were observed. Conclusions:HRCT can clearly display the internal structures of SPN, which is an effective way to discriminate the benign and malignant SPN. The observation of volume rendering combined with multi-planar reconstruction image of MDCT can clearly display the characteristic lesion features.

       

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