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肺部孤立性结节的CT诊断与鉴别诊断

Diagnosis and Differential Diagnosis of Solitary Pulmonary Nodule Using CT

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【作者】 李向阳张冠山

【Author】 LI Xiang-yang,ZHANG Guan-shan (Nantong Traditional Chinese Medical Hospital,Nantong 226001,China)

【机构】 江苏省南通市中医院放射科

【摘要】 目的探讨肺部孤立性结节(solitary pulmonary nodule,SPN)的诊断及鉴别诊断。方法回顾性分析28例SPN的影像表现,所有病例均有常规CT和高分辨率CT(HRCT)资料。结果本组28例SPN的界面影像表现及统计结果,肺癌9例,结核球5例,炎性假瘤2例,腺瘤1例。经抗炎治疗后,病变消失4例,诊断为良性肿瘤。随访2年以上病变无变化的7例。结论界面影像在不同性质的SPN中出现率不同,对肺部孤立性结节有很高的诊断价值。

【Abstract】 Objective To study the differential diagnosis of sol itary pulmonary nodule(SPN).Methods Retrospective analysis was used to study the data of conventional CT and high-resolution CT(HRCT) of 28 SPN.Results Phantom performance of SPN in this group of 28 cases,the results indicated that 9 cases were lung cancer,5 cases were tuberculoma, 2 cases were inflammatory pseudotumor and one case was adenoma,4 cases were benign tumor for the lesions disappeared after anti-inflammatory treatment.7 cases had no changes with the follow-up over two years.Conclusion The occurrence rate of Interface images might be different in all SPNs that should have a high diagnostic value to solitary pulmonary nodules.

  • 【文献出处】 黑龙江医学 ,Heilongjiang Medical Journal , 编辑部邮箱 ,2009年11期
  • 【分类号】R563.9;R816.4
  • 【被引频次】2
  • 【下载频次】61
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