[1]吕晓虹,刘 宁,牛玉军,等.高分辨计算机断层扫描在肺部混合磨玻璃结节侵袭性的表现及诊断价值*[J].陕西医学杂志,2019,(10):1346-1348.
　LV Xiaohong,LIU Ning,NIU Yujun,et al.Clinical value of HRCT in invasive assessment of mixed ground glass nodules of lung[J].,2019,(10):1346-1348.
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高分辨计算机断层扫描在肺部混合磨玻璃结节侵袭性的表现及诊断价值*
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
期数:
2019年10期
页码:
1346-1348
栏目:
临床研究
出版日期:
2019-10-05

文章信息/Info

Title:
Clinical value of HRCT in invasive assessment of mixed ground glass nodules of lung
文章编号:
DOI:10.3969/j.issn.10007377.2019.10.028
作者:
吕晓虹; 刘 宁; 牛玉军; 张祥林△
锦州医科大学附属第一医院放射线科（锦州 121000）
Author(s):
LV Xiaohong; LIU Ning; NIU Yujun; et al.
Department of Radiology,the First Affiliated Hospital of Jinzhou Medical University(Jinzhou 121000)
关键词:
高分辨计算机断层扫描; 混合性; 磨玻璃结节; 浸润性腺癌; 微浸润腺癌; 肺部
Keywords:
Key words 〖WT5BZ〗〖HT5”SS〗HRCT; Mixed; Groundglass nodules; IAC; MIA; Lung
分类号:
R734.2
文献标志码:
A
摘要:
摘 要 目的：探讨高分辨计算机断层扫描(HRCT)在肺部混合磨玻璃结节侵袭性评估中的价值。方法：搜集整理了经手术病理或活检证实的70例表现为混合磨玻璃结节的肺腺癌，根据病理结果分为浸润性腺癌及微浸润腺癌共两组，在HRCT上分析两组间肿瘤大小和形态，分叶、胸膜凹陷、空气支气管等征象以及实性成分直径和密度值。结果：两组中结节及实性部分的大小、形态、密度的差异，以及结节特征（是否具有分叶、胸膜凹陷、空气支气管）的差异有统计学意义(P＜0.05)；两组在空泡征与血管受累方面的差异没有统计学意义(P＞0.05)。结论：HRCT可以判断肺部混合性磨玻璃结节的侵袭性和恶性程度，有助于提高混合磨玻璃结节影像诊断的准确性。
Abstract:
Abstract 〖WT5BZ〗〖HT5”SS〗Objective:To explore the diagnostic value of HRCT in invasive assessment of mixed ground glass nodules of lung.Methods:Retrospective analysis of 70 cases of lung adenocarcinoma with mixed ground glass nodules confirmed by surgical pathology or biopsy in ourhospital from June 2017 to October 2018.According to the pathological manifestations,the cases were divided into two groups,micro invasiveadenocarcinoma and invasive adenocarcinoma.The size,morphology,lobulation,pleural depression,air bronchus,and solid component diameter,CT density value of the tumors between the two groups were analyzed.Results:There were statistically significant differences in the diameter,morphology,lobulation,pleural depression,air bronchus,and solid component diameter,CT density between the two groups (P＜0.05).There were no significant difference in vacuolar sign and vascular involvement between the two groups (P＞0.05).Conclusion:HRCT scan can determine the degree of malignancy and invasiveness of pulmonary mixed ground glass nodules,which is helpful to improve the accuracy of image diagnosis of mixed ground glass nodules.

参考文献/References:

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备注/Memo

备注/Memo:
*辽宁省自然科学基金资助重点项目（20180530051）
更新日期/Last Update: 2019-10-23