论文部分内容阅读
目的:根据肺内孤立性结节患者临床特点及影像学表现,探讨影响判断肺内孤立性结节性质的相关因素。方法:回顾性分析115例肺内孤立性结节患者临床资料并复习相关文献,应用Logistic回归分析总结影响判断肺内孤立性结节性质的相关因素和影响恶性病变判断的主要危险因素。结果:本组中恶性肿瘤占46.96%(54/115),良性肿瘤53.04%(61/115)。年龄、胸痛症状、周围毛刺、边缘分叶、峰强化Hu值等5个因素是影响判断肺内孤立性结节性质的主要因素,病变周围毛刺、边缘分叶等影像学表现是判断恶性肺内孤立性结节的主要危险因素。结论:病变周围有无毛刺、边缘有无分叶等影像学表现对判断肺内孤立性结节性质具有重要意义。
Objective: According to the clinical features and imaging findings of patients with solitary pulmonary nodules, explore the factors influencing the characterization of isolated nodules in the lung. Methods: A retrospective analysis of 115 cases of pulmonary nodules in patients with clinical data and review the relevant literature, the use of Logistic regression analysis of the factors that affect the determination of the characteristics of isolated lung nodules and the main risk factors to determine the malignant lesions. Results: The group of malignant tumors accounted for 46.96% (54/115), benign tumors 53.04% (61/115). Age, chest pain, peripheral glitches, marginal lobes, peak intensified Hu values and other five factors are the main factors that affect the characterization of solitary nodules in the lung. The imaging findings such as burr and edge lobes around the lesion are indicators of malignant lung The main risk factors for isolated nodules. Conclusion: There is no burr around the lesion, with or without edge lobes and other imaging findings to determine the nature of solitary pulmonary nodules of great significance.