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目的探讨肺部癌性空洞与其他空洞的CT诊断差别。方法回顾性分析76例伴有空洞肺疾病患者的临床资料,分析空洞大小、壁厚度及发生部位等指标。结果肺空洞CT表现:肺癌内壁不规则率低于肺结核,肺癌外壁分叶毛糙率高于肺脓肿,干酪性肺炎空洞平均直径小于肺癌,肺脓肿和肺霉菌感染CT强化幅度低于肺癌,干酪性肺炎、肺囊肿和肺霉菌感染壁平均厚度小于肺癌,差异均具有统计学意义(P<0.05)。结论 CT诊断肺部癌性空洞和其他空洞具有重要意义,为临床诊断肺部疾病提供重要依据,值得推广应用。
Objective To investigate the differences of CT diagnosis between lung cancer cavities and other cavities. Methods The clinical data of 76 patients with empty lung disease were retrospectively analyzed. The size of the cavity, the thickness of the wall and the location of the disease were analyzed. Results CT findings of lung cavity were lower than those of pulmonary tuberculosis. The rough surface of lung cancer was higher than that of lung abscess. The average cavity diameter of cheese pneumonia was less than that of lung cancer, lung abscess and pulmonary fungal infection. The average thickness of pneumonia, pulmonary cyst and pulmonary mold infection wall was less than that of lung cancer, the difference was statistically significant (P <0.05). Conclusions CT diagnosis of lung cancer cavities and other holes is of great significance for the clinical diagnosis of lung disease provide an important basis, it is worth promoting the application.