周围型肺癌一般行肺叶切除及淋巴结清扫术,若有壁层胸膜浸润则需加作胸膜切除术。对有些老年患者,如伴有心脏及糖尿病时,不能安全地实施胸膜切除术。因此术前外科医师必须预知壁层胸膜是否受侵,以便设计手术方案。作者分析螺旋CT扫描深呼、吸相位肿瘤有否移位,以确定有无壁层胸膜侵犯。本文一组17例周围型肺癌:包括12例腺癌,3例鳞 Peripheral lung cancer generally undergoes lobectomy and lymphadenectomy. If there is a parietal pleural infiltration, pleural resection is required. For some elderly patients, such as heart and diabetes, pleural resection cannot be safely performed. Therefore, the preoperative surgeon must predict whether the parietal pleura is invaded in order to design a surgical plan. The authors analyzed spiral CT scans for deep call and suction phase tumors for shifting to determine whether there was a parietal pleural invasion. This article a group of 17 cases of peripheral lung cancer: including 12 cases of adenocarcinoma, 3 cases of scales