【摘 要】
：
目的:分析肺磨玻璃样结节的高分辨率C T诊断价值.方法:选取肇庆市第二人民医院2017年4月—2019年4月C T扫描检出的肺磨玻璃样结节患者170例,将后期经手术病理诊断确诊为肺癌的30例患者设为观察组,剩余140例患者设为对照组,两组均开展高分辨率CT扫描,对比检查准确率、诊断征象以及CT能谱参数.结果:观察组检查确诊28例、准确率为93.33％,对照组检查确诊132例、准确率为94.29％,两组准确率均较高,观察组检查准确率与对照组对比差异无统计学意义(P>0.05).观察组患者表面光滑检出率显著低
【机 构】
：
肇庆市第二人民医院影像科 广东 肇庆 526060
论文部分内容阅读
目的:分析肺磨玻璃样结节的高分辨率C T诊断价值.方法:选取肇庆市第二人民医院2017年4月—2019年4月C T扫描检出的肺磨玻璃样结节患者170例,将后期经手术病理诊断确诊为肺癌的30例患者设为观察组,剩余140例患者设为对照组,两组均开展高分辨率CT扫描,对比检查准确率、诊断征象以及CT能谱参数.结果:观察组检查确诊28例、准确率为93.33％,对照组检查确诊132例、准确率为94.29％,两组准确率均较高,观察组检查准确率与对照组对比差异无统计学意义(P>0.05).观察组患者表面光滑检出率显著低于对照组,边胸膜凹陷征、毛刺征、空泡征、边缘分叶征各征象检出率均显著高于对照组(P<0.05).观察组动脉期Wa高于对照组,静脉期Wp高于对照组,NICp低于对照组,差异均具有统计学意义(P0.05).结论:高分辨率CT对肺磨玻璃样结节的良恶性诊断方面准确率较高,可以为后期治疗提供更加完善的依据,可在高分辨率CT诊断之后确定治疗方案,提升疾病治疗质量.
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