| 石德峰 鲍天萍 刘冲 王淑梅 李敏.多层螺旋CT对肺结核合并肺癌患者的诊断价值[J].,2017,17(6):1106-1109 |
| 多层螺旋CT对肺结核合并肺癌患者的诊断价值 |
| Diagnostic Value of MSCT on Pulmonary TuberculosisComplicated with Lung Cancer |
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| DOI： |
| 中文关键词: 多层螺旋CT 肺结核 肺癌 诊断价值 |
| 英文关键词: MSCT Pulmonary tuberculosis Lung cancer Diagnostic value |
| 基金项目:河北省科技攻关基金资助项目（324410084） |
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| 中文摘要: |
| 目的：研究多层螺旋CT 对肺结核合并肺癌的鉴别诊断价值。方法：选择2013 年3月至2015 年9 月在我院确诊的肺结核合
并肺癌患者32 例和单纯肺结核患者39例，应用多层螺旋CT 扫描患者肺部病变情况。结果：肺结核合并肺癌组：陈旧性肺结核
28 例、活动性肺结核4 例；病灶位置：经典部位29 例、非经典部位3 例；合并鳞癌11 例、腺癌13 例、小细胞癌5 例、未分化癌3
例；10 例结核病灶与肺癌病灶不同侧、13例结核病灶与肺癌病灶同侧不同叶、9 例结核病灶于肺癌病灶同侧同叶。单纯性肺结核
组：陈旧性肺结核36 例、活动性肺结核3 例；病灶位置：经典部位34 例（上叶尖段11 例、后段9 例、下叶背段14 例）、非经典部位
5 例。肺结核合并肺癌组患者分叶征、毛刺征、胸膜凹陷征、阻塞性肺炎及肺不张以及棘状突起比例高于单纯肺结核组，而空泡影
比例低于单纯肺结核组，差异具有统计学意义（P<0.05）；两组钙化、斑片条索影、结节影以及空洞或空腔比较，差异无统计学意义
（P>0.05）。结论：多层螺旋CT对肺结核合并肺癌具有较高的临床鉴别诊断价值。 |
| 英文摘要: |
| Objective:To study the value of multi-slice spiral CT on the differential diagnosis of pulmonary tuberculosis
complicated with lung cancer.Methods:32 cases with pulmonary tuberculosis complicated with lung cancer who were diagnosed in our
hospital March 2013 to September 2015 were selected as the research objects, and another 39 cases with PTB were selected as the control
group. Then the pulmonary lesions in the two groups were detected by the multi-slice spiral CT.Results:Pulmonary tuberculosis
complicated with lung cancer group: 28 cases were past pulmonary tuberculosis and 4 cases were active pulmonary tuberculosis; The
location of the lesion: 29 cases were classical and 3 cases were non classical; 11 cases were squamous cell carcinoma, 13 cases were
adenocarcinoma, 5 cases were small cell carcinoma, and 3 cases were undifferentiated carcinoma; 10 cases with tuberculosis and lung
cancer lesions were different sides, 13 cases with tuberculosis and lung cancer lesion ipsilateral were different leafs, and 9 cases with
tuberculosis in lung cancer ipsilateral were the lesion with leaf. Simple pulmonary tuberculosis group: 36 cases were past pulmonary
tuberculosis, 3 cases were active pulmonary tuberculosis; The location of the lesion: 34 cases were in classical site (11 cases were apical,
9 cases were posterior segment and 14 cases were lower lobe dorsal segment) and 5 cases were in non classical site. The lobulation sign,
spiculation, pleural indentation sign, blocking pneumonia and spinous protuberance of patients with pulmonary tuberculosis complicated
with lung were higher than those of patients with simple pulmonary tuberculosis, while the air bubble was lower, and the differences were
statistically significant (P<0.05); There was no statistically significant difference about the spot strip cable, nodules and cavity between
the two groups (P>0.05).Conclusion:The value of multi-slice spiral CT in the differential diagnosis of pulmonary tuberculosis
complicated with lung cancer was significant, which could be helpful for the clinical treatment of disease. |
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