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目的:分析普通X线在肺内单发结节中的诊断价值。方法:选择60例2015年1月至2016年12月收治的肺内单发结节患者,先采用x线检测,后采用CT平扫,对两种诊断准确性进行分析。结果:60例肺内单发结节患者中良性28例和恶性32例,组间单一毛刺征、边缘不光滑、分叶征、胸膜凹陷征以及血管集束征等CT征象比较,有统计学意义。诊断效能最高的单一征象为分叶征、胸膜凹陷征和毛刺征。这三种征象组合的敏感度和阳性预测值均为100%。结论:在肺内单发结节诊断中采取X线与CT扫描能起到互补作用,具有较高的应用价值,其诊断的可信度越高。
Objective: To analyze the diagnostic value of common X-ray in solitary pulmonary nodules. Methods: Sixty patients with solitary pulmonary nodules who were admitted from January 2015 to December 2016 were enrolled in the study. X-ray examination and CT scan were performed first to analyze the accuracy of the two methods. Results: There were 28 benign cases and 32 malignant cases in 60 patients with solitary pulmonary nodules. There were significant differences in CT signs such as single burr sign, unsmooth edge, lobulation sign, pleural indentation and vascular bundle sign . Single diagnosis of the highest single sign of lobulation, pleural indentation and burr sign. The sensitivity and the positive predictive value of the three signs were both 100%. Conclusion: The X-ray and CT scan can play a complementary role in the diagnosis of solitary pulmonary nodules, which has a high value of application and the higher the credibility of the diagnosis.