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目的:评价螺旋CT在矽肺合并肺癌的诊断价值。方法:回顾性分析经病理证实肺癌的矽肺患者9例,采用GE16排螺旋CT扫描,运用平扫、增强扫描分析矽肺合并肺癌的表现。结果:经病理证实均为肺癌,其中鳞癌5例,腺癌3例,小细胞肺癌1例。讨论:螺旋CT在矽肺合并肺癌的诊断及鉴别诊断上有很高的价值,对疑似病变及新结节灶的定期复查很关键。
Objective: To evaluate the diagnostic value of spiral CT in silicosis complicated with lung cancer. Methods: Nine patients with pathologically confirmed silicosis of lung cancer were retrospectively analyzed. The results of GE 16-slice spiral CT scan and plain scan and enhanced scan of silicosis and lung cancer were retrospectively analyzed. Results: Pathologically confirmed lung cancer, including squamous cell carcinoma in 5 cases, adenocarcinoma in 3 cases, 1 case of small cell lung cancer. Discussion: Spiral CT in the diagnosis and differential diagnosis of silicosis with lung cancer have a high value, the suspicion of lesions and nodules regularly review is critical.