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1、周圍型肺腺癌的CT征象分析、診斷及鑒別診斷【摘要】目的研究周圍型肺腺癌CT表現(xiàn)及與病理之間的關(guān)聯(lián)。方法回顧性分析102例經(jīng)手術(shù)病理證實(shí)的周圍型肺腺癌（其中高分化30例，中分化33例，低分化39例）主要CT征象進(jìn)行比較分析。結(jié)果102例周圍型肺腺癌的主要CT分析征象是：空氣支氣管征或空泡征、高分化腺癌24例（80％）、中分化腺癌10例（30.3％）、低分化腺癌無此征、毛刺征73例、棘突征52例、分葉征79例、胸膜凹陷征65例、血管集束征69例、病灶內(nèi)鈣化31例，其中67例出現(xiàn)上述三種以上征象。結(jié)論綜合分析周圍型肺腺癌的CT征象有利于提高對本病的診斷準(zhǔn)確率?！娟P(guān)鍵詞】肺腫瘤;腺
2、癌;周圍型;體層攝影術(shù);X線計(jì)算機(jī);診斷[Abstract]ObjectiveToevaluatetherelationshipbetweentheCTfeatuersandpathologyofperipheraladenocarcinoma.MethodsTheCTfeaturesof102patientswithperipheralLungadenocarnomasprovedbyoperationandpathologywerestudiedretrospectively(highdifferentialadenocarcinoma30cases;moderated
3、ifferentialadenocarcinoma33cases;lowdifferentialadenocarcinoma39cases).ResultsthebasicCTfeaturesof10210周圍型肺腺癌的CT征象分析、診斷及鑒別診斷【摘要】目的研究周圍型肺腺癌CT表現(xiàn)及與病理之間的關(guān)聯(lián)。方法回顧性分析102例經(jīng)手術(shù)病理證實(shí)的周圍型肺腺癌（其中高分化30例，中分化33例，低分化39例）主要CT征象進(jìn)行比較分析。結(jié)果102例周圍型肺腺癌的主要CT分析征象是：空氣支氣管征或空泡征、高分化腺癌24例（80％）、中分化腺癌10例（30.3％）、低分化腺癌無此征、毛刺征
4、73例、棘突征52例、分葉征79例、胸膜凹陷征65例、血管集束征69例、病灶內(nèi)鈣化31例，其中67例出現(xiàn)上述三種以上征象。結(jié)論綜合分析周圍型肺腺癌的CT征象有利于提高對本病的診斷準(zhǔn)確率。【關(guān)鍵詞】肺腫瘤;腺癌;周圍型;體層攝影術(shù);X線計(jì)算機(jī);診斷[Abstract]ObjectiveToevaluatetherelationshipbetweentheCTfeatuersandpathologyofperipheraladenocarcinoma.MethodsTheCTfeaturesof102patientswithperipheralLungadenocarnomas
5、provedbyoperationandpathologywerestudiedretrospectively(highdifferentialadenocarcinoma30cases;moderatedifferentialadenocarcinoma33cases;lowdifferentialadenocarcinoma39cases).ResultsthebasicCTfeaturesof10210patientswithPeripherallungadenocarcinomaswereasfollows:vacuoleorairbronchograchargin
6、gsignwasfoundinwhichaswereseenin24cases(80%)inhighdifferentialadenocarcinomaandwereseenin10cases(30.3%)inmoderatedifferentialadenocarcinomabutnotseeninlowdifferentialones,spiculationsignin73(71.5%).spiculateprotulerancesignin52(50.9%).lobulationsignin79(77.4%),pleuralindentationsignin65(63
7、.7%),vesselconvergenoesignin69cases(67.6%),andcalcificationinsidethelesionwas31cases.67caseshadmorethenthreebasicCTsignsmentionedabove.ConclusionComprehensiveanalysisofCTfeaturesisconductivetoimprovetheaccuracyofthediagnosisofperipherallungadenocarcinomas.[Key
