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目的:探讨计算机断层扫描(CT)在肺结核空洞与肺癌空洞鉴别诊断中的应用。方法:抽取2012年5月-2014年5月本院25例肺结核空洞患者(A组)及25例肺癌空洞患者(B组),均经病理手术证实为肺结核空洞与肺癌空洞,对其CT检查的影像学资料进行回顾性分析。结果:观察组卫星灶(80.0%)、钙化(28.0%)、厚壁空洞(64.0%)为主要特点,分叶(8%)、毛刺(12.0%)、胸膜凹陷(16.0%)等现象少见,两组患者征象比较,除薄壁空洞外,差异均具有统计学意义(P<0.05)。结论:肺结核空洞主要CT征象为厚壁空洞、周围卫星灶以及钙化,而肺癌空洞主要征象为分叶、厚壁空洞、胸膜凹陷、毛刺以及壁结节,在临床鉴别诊断中具有重要参考价值。
Objective: To investigate the application of computed tomography (CT) in the differential diagnosis of tuberculosis cavity and lung cancer cavity. Methods: 25 patients with pulmonary tuberculosis (group A) and 25 patients with lung cancer (group B) were selected from May 2012 to May 2014 in our hospital. All of them were confirmed as pulmonary cavities and lung cancer by pathological examination. CT examination The imaging data were retrospectively analyzed. Results: The observation group had the features of 80.0%, calcification (28.0%) and thick-wall cavity (64.0%). The lobes (8%), burr (12.0%) and pleura (16.0% The differences between the two groups were statistically significant except the thin-walled cavity (P <0.05). CONCLUSION: The major CT signs of pulmonary tuberculosis are thick-walled cavity, surrounding satellite lesions and calcification. The main signs of lung cancer are lobulation, thick-walled hollow, pleural indentation, burr and wall nodules, which have important reference value in clinical differential diagnosis.