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目的:探讨CT在肺结核空洞与肺癌空洞鉴别诊断中的应用价值,为临床鉴别诊断提供依据。方法:选取2010年1月~2012年12月间治疗的肺结核空洞38例(观察组)以及肺癌空洞患者41例(对照组)作为研究对象,回顾性分析两组患者CT检查的影像学资料特点。结果:肺结核空洞多以厚壁空洞(55.3%)、钙化(26.3%)、周围卫星灶(76.3%)为主要特点,薄壁空洞、壁结节、分叶、毛刺以及胸膜凹陷征较为少见。肺癌空洞以厚壁空洞(82.9%)、壁结节(70.7%)、分叶(90.2%)、毛刺(75.6%)以及胸膜凹陷征(73.2%)为主要特点,钙化以及卫星灶较为少见,经统计分析,P<0.05,存在显著性差异。结论:CT能够有效鉴别肺结核空洞与肺癌空洞,为临床鉴别诊断提供重要参考依据。
Objective: To explore the value of CT in the differential diagnosis of tuberculosis cavity and lung cancer cavity, and to provide the basis for differential diagnosis. Methods: Thirty-eight cases of pulmonary tuberculosis (observation group) and 41 cases of lung cancer empty-hole group (control group) were selected from January 2010 to December 2012 as study subjects. The imaging features of CT examination were retrospectively analyzed . Results: The majority of pulmonary tuberculosis were mainly characterized by thick-walled cavity (55.3%), calcification (26.3%) and surrounding satellite lesions (76.3%). Thin wall hollows, wall nodules, lobulation, burr and pleural indentation were rare. The major features of calcification and satellite lesions were the main features of lung cancer with thick-walled hollow (82.9%), wall nodules (70.7%), lobulation (90.2%), burr (75.6%) and pleural indentation (73.2% After statistical analysis, P <0.05, there are significant differences. Conclusion: CT can effectively identify the cavity of the tuberculosis and the cavity of lung cancer, and provide an important reference for clinical differential diagnosis.