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目的:探讨CT检查在青年型肺癌诊断中的意义。方法:对30例青年型肺癌的X线及CT影像学表现进行回顾性分析。结果:30例青年型肺癌患者胸部X光片表现多样性,X线征象不典型,以肺内斑片状浸润影及胸腔积液为主,典型的块影或单侧肺门影增大相对少见;本组中X线平片25例误诊,误诊率达83%;CT检查8例误诊,误诊率27%。结论:青年型肺癌临床表现多不典型,误诊多,转移早。CT可清楚地显示支气管狭窄、阻塞、肺门肿块及纵隔淋巴结增大等特征性表现,因此在青年型肺癌的诊断中有重要意义。
Objective: To explore the significance of CT examination in the diagnosis of young lung cancer. Methods: X-ray and CT findings of 30 young patients with lung cancer were analyzed retrospectively. Results: Thoracic radiographs of 30 cases of young patients with lung cancer showed diversity and X-ray findings were not typical. The patchy pleural effusion and pleural effusion in the lungs were dominant. The typical shadow or unilateral hilar enlargement was relative Rare in this group of 25 cases of X-ray film misdiagnosis, misdiagnosis rate of 83%; 8 cases of CT misdiagnosis, misdiagnosis rate of 27%. Conclusion: The clinical manifestations of young lung cancer are atypical, misdiagnosed and metastasized early. CT can clearly show bronchial stenosis, obstruction, hilar mass and mediastinal lymph nodes and other characteristics of the increase, so the diagnosis of young-type lung cancer is of great significance.