论文部分内容阅读
目的:探讨多层螺旋CT增强扫描用于肺癌术前评估的价值。方法:65例肺癌患者术前均行多层螺旋CT增强扫描,分析气管支气管、纵隔大血管浸润及淋巴结转移情况,并与病理结果进行比较。结果:手术及病理诊断阳性气管、支气管树114支,多层螺旋CT诊断一致105支(92.1%);手术及病理诊断纵隔、大血管阳性29例,多层螺旋CT诊断一致26例(89.7%);手术及病理诊断淋巴转移46例,多层螺旋CT一致43例(93.5%)。结论:多层螺旋CT增强扫描可较准确判断肺癌浸润程度及淋巴结转移情况,肺癌患者术前行多层螺旋CT增强扫描有助于手术方案的选择及预后判定。
Objective: To investigate the value of multi-slice spiral CT in the preoperative evaluation of lung cancer. Methods: Sixty-five patients with lung cancer underwent enhanced multi-slice spiral CT before operation. The tracheal bronchus and mediastinal large vessel infiltration and lymph node metastasis were analyzed and compared with the pathological results. Results: There were 114 tracheoesophageal and bronchial trees diagnosed by operation and pathology, 105 cases (92.1%) were diagnosed by multislice spiral CT, 29 cases were diagnosed by mediastinal and large vessels by operation and pathology, and 26 cases (89.7% ); 46 cases of lymph node metastasis were diagnosed by operation and pathology, and 43 cases (93.5%) were confirmed by multi-slice spiral CT. Conclusion: MSCT can accurately determine the degree of infiltration of lung cancer and lymph node metastasis. Multi-slice spiral CT enhanced scan in patients with lung cancer is helpful for the selection of surgical plan and prognosis.