徐玉华

摘要：目的：探究肺小结节及早期肺癌通过64排螺旋CT进行诊断的应用价值。方法：本次研究时间从2020年1月开始至2020年12月截止，共有112例患者纳入研究。其中包括肺小结节患者100例，早期肺癌患者12例，通过单双号分组的方式将患者平均分为两组，单号组56例患者接受16排螺旋CT检查，为对比组;双号组56例患者接受64排螺旋CT检查，为观察组。以术后病理诊断结果视为此次研究的金标准，针对两组检查结果做出分析与探讨。结果：观察组肺小结节以及早期肺癌总符合率、CT图像质量优良率均显著高于对比组，P<0.05，同时其诊断操作所需时间低于对比组，P<0.05。结论：利用64排螺旋CT对肺小结节及早期肺癌实施临床诊断具有更高的符合率，且诊断操作时间相对较短，适合临床中推广普及。

关键词：64排螺旋CT;肺小结节;早期肺癌;诊断价值;符合率

中图分类号：R734.2文献标识码：BDOI：10？郾3969/j.issn.1001-0270.2021.05.08

Analysis of the Diagnostic Value and Coincidence Rate of Multi-slice Spiral CT for Pulmonary Nodules and Early Lung Cancer

Xu Yu-hua

（Department of Imaging， Suzhou Ninth Peoples Hospital， Jiangsu 215232， China）

Abstract： Objective： To explore the application value of 64-slice spiral CT in the diagnosis of small pulmonary nodules and early lung cancer. Methods： The study time started from 2020.1 to 2020.12. A total of 112 patients were included in the study， including 100 patients with small pulmonary nodules and 12 patients with early lung cancer. The patients were divided into two groups by odd and even numbers. Patients in the single-number group received 16-slice spiral CT examination， 56 cases were included in the group， and this group was named the comparison group; the patients in the double-number group received 64-slice spiral CT examination， there were also 56 cases in the group， and the group was named observation group. The postoperative pathological diagnosis was regarded as the gold standard of this study， and the two groups of examination results were analyzed and discussed. Results： The total coincidence rate of small pulmonary nodules and early lung cancer in the observation group and the excellent and good rate of CT image quality were significantly higher than those in the comparison group， P<0.05， and the time required for diagnosis was lower than that in the comparison group， P<0.05. Conclusion： The use of 64-slice spiral CT in the clinical diagnosis of pulmonary nodules and early lung cancer has a higher coincidence rate， and the diagnosis operation time is relatively short， which is suitable for popularization in the clinic.

Key Words： 64-slice spiral CT; small lung nodules; early lung cancer; diagnostic value; coincidence rate

肺癌在臨床中是比较常见的疾病，为原发性恶性肿瘤中的一种，致死率较高[1]。肺小结节属于局性灶疾病，形状为小的类圆形，通过影像学观察，以密度增高的阴影为主[2]。此类结节类型较多，不但存在单发型，同时也包括多发型，一般不会伴随胸腔积液或肺不张的情况出现。同时肺小结节的存在并不代表一定患有肺癌，只有恶性肺小结节的出现才能表示肺癌的存在[3]。我国恶性肿瘤患者中，肺癌患病群体的占比极高，由于发病初期没有显著症状，往往会诊治不及时，导致临床治疗延误，最终诊治效果不佳，给患者及其家庭带来诸多不利影响。目前，在对早期肺癌以及肺小结节进行临床诊断时，通常通过CT检查的方式[4]。随着影像学技术的逐步发展，科学水平的不断提升，传统CT检查方法也在不断革新，多排螺旋CT检查方法在早期肺癌患者的临床诊断中开始应用，并收获了较好的效果[5]。……