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目的:探讨如何鉴别周围型肺腺癌与肺结核瘤影像特征。方法:选取2013年6月-2015年5月我院收治的50例周围性肺腺癌患者以及55例肺结核瘤患者作为研究对象,对105例患者的CT影像特点进行回顾性分析。结果:周围性肺腺癌患者分叶征象为39例(78.0%),肺结核瘤患者为25例(45.5%),且分叶征象上来看周围型肺腺癌患者大多为深分叶,肺结核瘤患者多为浅分叶。周围性肺腺癌患者其肿块内局限性融解或空洞为14.0%,而结核瘤患者为23.6%。结论:因此医师在周围型肺腺癌与肺结核瘤的CT诊断要纵观全局,熟练地掌握两种病症CT影像上的特点,避免出现误诊的现象。
Objective: To explore how to identify the imaging features of peripheral pulmonary adenocarcinoma and tuberculoma. Methods: Fifty patients with peripheral pulmonary adenocarcinoma and 55 patients with pulmonary tuberculosis admitted in our hospital from June 2013 to May 2015 were selected as the research object. The CT features of 105 patients were retrospectively analyzed. Results: There were 39 cases (78.0%) of lobulated tumors and 25 (45.5%) of tuberculomas in peripheral lung adenocarcinoma. Most of peripheral lung adenocarcinoma were lobulated and tuberculoma Patients are mostly shallow leaves. Patients with peripheral pulmonary adenocarcinoma had a localized melt or void within the tumor of 14.0%, compared with 23.6% of patients with tuberculosis. CONCLUSIONS: Therefore, physicians should make a comprehensive overview of the CT diagnosis of peripheral pulmonary adenocarcinoma and tuberculoma, and master the characteristics of CT images of the two kinds of diseases to avoid misdiagnosis.