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目的:探究螺旋CT定性诊断肺磨玻璃结节的临床价值。方法回顾分析经过病理诊断为肺磨结节的50例患者资料,分析螺旋CT的诊断符合率,同时对不同病理类型的肺磨玻璃结节的螺旋CT征象进行比较。结果:50例患者中46例患者符合,准确率为92.0%;良性符合率为95.2%(20/21),恶性符合率为92.0%(23/25);随着肺磨玻璃结节病情的恶化程度的加深,病灶会越来越不规律;恶性组的病灶明显大于良性组;炎症、AHH和ATS实性成分均为0,IAC实性成分大于MIA。结论:采用螺旋CT诊断肺磨玻璃结节具有较高的临床价值,可以鉴别出不同类型的肺磨玻璃结节,对于临床治疗具有指导作用。
Objective: To investigate the clinical value of spiral CT in the diagnosis of lung-ground glass nodules. Methods The data of 50 patients diagnosed as pulmonary nodules by pathology were retrospectively analyzed. The diagnostic coincidence rates of spiral CT were analyzed. The spiral CT signs of lung-worn glass nodules of different pathological types were also compared. Results: Forty-six patients in the 50 cases met the criteria of 92.0%, benign coincidence rate was 95.2% (20/21) and malignant coincidence rate was 92.0% (23/25) The worse the degree of deterioration, the lesion will be more and more irregular; malignant lesions were significantly larger than the benign group; inflammation, AHH and ATS solid components are 0, IAC solid components greater than MIA. Conclusion: Spiral CT diagnosis of lung-ground glass nodules has high clinical value, and can identify different types of lung-ground glass nodules, which can guide the clinical treatment.