周围型肺腺癌的ct征象分析、诊断及鉴别诊断

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1、周围型肺腺癌的CT征象分析、诊断及鉴别诊断【摘要】目的研究周围型肺腺癌CT表现及与病理之间的关联。方法回顾性分析102例经手术病理证实的周围型肺腺癌（其中高分化30例，中分化33例，低分化39例）主要CT征象进行比较分析。结果102例周围型肺腺癌的主要CT分析征象是：空气支气管征或空泡征、高分化腺癌24例（80％）、中分化腺癌10例（30.3％）、低分化腺癌无此征、毛刺征73例、棘突征52例、分叶征79例、胸膜凹陷征65例、血管集束征69例、病灶内钙化31例，其中67例出现上述三种以上征象。结论综合分析周围型肺腺癌的CT征象有利于提高对本病的诊断准确率。【关键词】肺肿瘤;腺

2、癌;周围型;体层摄影术;X线计算机;诊断[Abstract]ObjectiveToevaluatetherelationshipbetweentheCTfeatuersandpathologyofperipheraladenocarcinoma.MethodsTheCTfeaturesof102patientswithperipheralLungadenocarnomasprovedbyoperationandpathologywerestudiedretrospectively(highdifferentialadenocarcinoma30cases;moderated

3、ifferentialadenocarcinoma33cases;lowdifferentialadenocarcinoma39cases).ResultsthebasicCTfeaturesof10210周围型肺腺癌的CT征象分析、诊断及鉴别诊断【摘要】目的研究周围型肺腺癌CT表现及与病理之间的关联。方法回顾性分析102例经手术病理证实的周围型肺腺癌（其中高分化30例，中分化33例，低分化39例）主要CT征象进行比较分析。结果102例周围型肺腺癌的主要CT分析征象是：空气支气管征或空泡征、高分化腺癌24例（80％）、中分化腺癌10例（30.3％）、低分化腺癌无此征、毛刺征

4、73例、棘突征52例、分叶征79例、胸膜凹陷征65例、血管集束征69例、病灶内钙化31例，其中67例出现上述三种以上征象。结论综合分析周围型肺腺癌的CT征象有利于提高对本病的诊断准确率。【关键词】肺肿瘤;腺癌;周围型;体层摄影术;X线计算机;诊断[Abstract]ObjectiveToevaluatetherelationshipbetweentheCTfeatuersandpathologyofperipheraladenocarcinoma.MethodsTheCTfeaturesof102patientswithperipheralLungadenocarnomas

5、provedbyoperationandpathologywerestudiedretrospectively(highdifferentialadenocarcinoma30cases;moderatedifferentialadenocarcinoma33cases;lowdifferentialadenocarcinoma39cases).ResultsthebasicCTfeaturesof10210patientswithPeripherallungadenocarcinomaswereasfollows:vacuoleorairbronchograchargin

6、gsignwasfoundinwhichaswereseenin24cases(80%)inhighdifferentialadenocarcinomaandwereseenin10cases(30.3%)inmoderatedifferentialadenocarcinomabutnotseeninlowdifferentialones,spiculationsignin73(71.5%).spiculateprotulerancesignin52(50.9%).lobulationsignin79(77.4%),pleuralindentationsignin65(63

7、.7%),vesselconvergenoesignin69cases(67.6%),andcalcificationinsidethelesionwas31cases.67caseshadmorethenthreebasicCTsignsmentionedabove.ConclusionComprehensiveanalysisofCTfeaturesisconductivetoimprovetheaccuracyofthediagnosisofperipherallungadenocarcinomas.[Key