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同层CT动态增强在肺孤立结节外科治疗中的价值(附42例报告)
作者:朱亚彬 储成凤 徐秋贞 杨明 刘志勇 吴熹 杨丹宁 姚青 
单位:东南大学,附属中大医院,江苏,南京,210009
关键词:肺癌 肺孤立结节 增强计算机体层摄影术 外科治疗 
分类号:R814.42, R563, R655.3
出版年·卷·期(页码):2004·23·第三期(191-194)
摘要:

目的:评价同层CT动态增强扫描在肺孤立结节外科治疗中的价值.方法:回顾性总结手术治疗的42例肺孤立结节病变的临床资料,分析CT动态增强扫描前后CT增强值的变化,与术后病理结果进行对照,研究相关性.结果:肺癌和肺炎性结节显著强化,肺结核球和肺错构瘤轻度强化或不强化,肺癌和肺结核球在85s和135s时间段中均有显著性差异(P<0.05).结论:同层CT动态增强对肺孤立性结节的鉴别极有价值,CT动态增强中应重视淋巴结的观察,术前常规进行有助于手术方案的选择.

Objective  To evaluate the value of incremental dynamic enhanced computer tomography in surgical treatment of solitary pulmonary nodules (SPNs).Methods  The data of 42 cases with solitary pulmonary nodules undergone lobe-resection during 2002.5 to 2003.6 in our hospital were collected to analyse the relationship between character of postoperative dynamic enhanced CT image and pathology.Results  All bronchogenic  carcinoma showed significant  enhancement after intravenous 100 ml iodinated  contrast  material.The average degree of enhancement  of bronchogenic carcinoma was significantly different from that of tuberculoma and other benign lesions.Conclusion  Dynamic enhanced computed tomography is very valuable in identifying the malignant nodules from benign nodules.Emphasis should be paid to the lymph nodes in the dynamic enhanced computed tomography to  benefit the diagnosis and the treatment of SPN.

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