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目的:探讨高分辨力螺旋CT对不典型结节病的临床诊断价值。方法:本次临床研究选取本院2012年1月至2012年12月之间在我院就诊的30例术后病理诊断为不典型结节病的患者为观察对象,所有观察对象均于术前接受高分辨力螺旋CT检查,回顾分析患者的临床诊断结果。结果:所有30例患者中,3例囊性强化,约占10%,3例环形强化,约占10%,6例非均匀强化,约占20%,18例均匀强化,约占60%。其中,1例无强化,约占4.4%,3例低度强化,约占10%,7例中度强化,约占23.3%,19例明显强化,约占63.3%。各类病变钙化情况和胸内淋巴结肿大情况对比具有明显的统计学差异(P<0.05)。结论:本次临床研究结果表明,高分辨力螺旋CT能够显著提高不典型结节病的临床检出率,对于该疾病的临床诊断具有较高的应用价值,与其他实验室检查方法相互配合,有助于误诊率的大大降低。
Objective: To investigate the value of high resolution spiral CT in the diagnosis of atypical sarcoidosis. Methods: This clinical study selected our hospital from January 2012 to December 2012 in our hospital for treatment of 30 cases of pathologically diagnosed as atypical sarcoidosis patients were observed, all observed in preoperative Underwent high resolution spiral CT examination, retrospective analysis of the patient’s clinical diagnosis. Results: Of the 30 patients, 3 had cystic enhancement, accounting for 10%, 3 had ring enhancement, accounting for 10%, 6 had heterogeneous enhancement, accounting for 20% and 18 had uniform enhancement, accounting for 60%. Among them, 1 case had no enhancement, accounting for 4.4%, 3 cases had low enhancement, accounting for 10%, 7 cases moderately enhanced, accounting for 23.3%, and 19 cases obviously strengthened, accounting for 63.3%. All kinds of pathological changes of calcification and intrathoracic lymphadenopathy have obvious statistical difference (P <0.05). Conclusion: The results of this clinical study show that high-resolution spiral CT can significantly improve the clinical detection rate of atypical sarcoidosis, which has high application value in the clinical diagnosis of the disease and interacts with other laboratory examination methods. Help to greatly reduce the misdiagnosis rate.