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目的观察周围型肺癌应用X射线以及CT检测时所表现出来的不同征象特点,对比两种方法检测诊断周围型肺癌的实际临床价值。方法回顾性分析2012年至2014年来我院及陕西省第四医院接受治疗的70例周围型肺癌患者的临床影像学资料,观察CT以及X射线的特征。结果与术后的最终病理结果进行对比,CT诊断周围型肺癌的准确率为88.57%,显著大于X射线诊断的58.57%(P<0.05);除去肿块征以及分叶征,CT对于周围型肺癌患者的肺门与纵隔淋巴结肿大、骨转移、空洞、胸膜凹陷征、空泡征及支气管征、血管集束征、肿块征、毛刺征的显出率要显著高于X射线(P<0.05)。结论 X射线以及CT检测周围型肺癌各有其特点,CT的诊断准确率更好,临床中最好将两者根据患者的实际情况灵活应用。
Objective To observe the different signs and symptoms of peripheral lung cancer using X-ray and CT, and compare the two methods to detect the actual clinical value of diagnosing peripheral lung cancer. Methods The clinical imaging data of 70 patients with peripheral lung cancer treated in our hospital and the Fourth Hospital of Shaanxi Province from 2012 to 2014 were retrospectively analyzed. The CT and X-ray features were observed. The results were compared with the final postoperative pathological results. The accuracy of CT in diagnosing peripheral lung cancer was 88.57%, significantly higher than that of X-ray diagnosis (58.57%, P0.05) Patients with hilar and mediastinal lymph nodes, bone metastasis, empty, pleural indentation, vacuole and bronchial signs, vascular bundling sign, mass signs, burr sign was significantly higher than the X-ray (P <0.05) . Conclusion X-ray and CT examination of peripheral lung cancer have their own characteristics, CT diagnostic accuracy rate is better, the best of both clinical according to the actual situation of patients flexible application.