摘要
目的:分析肺部小结节疾病特点,分析CT后处理对定性诊断价值的影响。方法:选择2019年5月~2020年5月本院诊治的80例肺部小结节疾病患者,结合病理结果进行良性组(n=30)、恶性组(n=50)分组。经医院伦理委员会批准,参与患者、家属签署知情同意书,均经CT后处理,分析良恶性患者磨玻璃影影像学特征、磨玻璃影形态学情况。结果:恶性组与良性组患者组间毛刺征(56.00%vs10.00%)、胸膜凹陷征(78.00%vs30.00%)、空泡征(16.00%vs3.33%)等磨玻璃影影像学特征分析,恶性组患者表现更为明显,P<0.05;恶性组与良性组患者组间不规则形(64.00%vs16.67%)、圆或椭圆(16.00%vs56.67%)、多结节融合状(34.00%vs0.00%)、斑片状(66.00%vs16.67%)磨玻璃影形态学情况分析,除圆或椭圆外,不规则形、多结节融合状、斑片状恶性组占比率更高,P<0.05。结论:肺部小结节定性诊断中CT后处理能够进一步有效区别良性、恶性患者的磨玻璃影影像学与形态学特征区别,用于肺部小结节定性诊断价值显著,有助于患者临床早期治疗和预后。
Objective:To analyze the characteristics of small pulmonary nodules,and to analyze the impact of CT post-processing on the value of qualitative diagnosis.Methods:We selected 80 patients with small pulmonary nodules who were diagnosed and treated in our hospital from May 2019 to May 2020,and grouped them into the benign group(n=30)and the malignant group(n=50)based on the pathological results.Approved by the hospital ethics committee,the participating patients and their families signed an informed consent form,and all were processed by CT to analyze the imaging characteristics and morphology of ground glass in benign and malignant patients.Results:There were ground-glass opacities such as burr sign(56.00%vs 10.00%),pleural depression sign(78.00%vs 30.00%)and vacuole sign(16.00%vs 3.33%)between malignant group and benign group.In characteristic analysis,the malignant group showed more obvious performance,P<0.05;Irregular(64.00%vs 16.67%),round or oval(16.00%vs 56.67%),multi-nodular fusion(34.00%vs 0.00%),patchy(66.00%vs 16.67%)morphological analysis of ground-glass opacity,in addition to circle or ellipse,the proportion of irregular,multi-nodular fusion,and patchy malignant group was higher,P<0.05.Conclusion:CT post-processing in the qualitative diagnosis of small pulmonary nodules can further effectively differentiate between benign and malignant patients in terms of the difference in imaging and morphological features of ground glass images,which is of significant value for the qualitative diagnosis of small pulmonary nodules and contributes to the early clinical treatment and prognosis of patients.
作者
吕明星
LV Ming-xing(Department of Imaging,Dandong People’s Hospital,Liaoning Dandong 118000)
出处
《中国医疗器械信息》
2022年第18期79-81,共3页
China Medical Device Information
关键词
CT后处理
肺部小结节
定性诊断
磨玻璃影影像学
形态学
诊断价值
病理结果良性
恶性
CT post-processing
small lung nodules
qualitative diagnosis
ground glass imaging and morphology
diagnostic value
pathological results benign and malignant
