孤立性肺结节胸部CT与病理的临床分析

摘要

Objective To analyze the chest CT imaging features of solitary pulmonary nodules and postoperative pathology.Methods The CT imaging findings and the diameter of solitary pulmonary nodules in 29 patients with solitary pulmonary nodules were analyzed and compared with the postoperative pathological results.Results Chest CT imaging features such as lobulation,marginal burrs,vacuoles,bronchogram,pleural indentation and vascular aggregation were the characteristic manifestations of malignant solitary pulmonary nodules.The diameter of solitary pulmonary nodules was valuable for the diagnosis of diseases.Conclusion Early recognition of the imaging features of solitary pulmonary nodules and the correct evaluation of the properties of the nodules can improve the effect of surgical treatment.%目的 分析孤立性肺结节胸部CT影像学特征与术后病理.方法 对29例孤立性肺结节患者的胸部CT影像学表现、孤立性肺结节的直径进行分析,并与术后病理结果对照.结果 胸部CT影像学如分叶征、边缘毛刺征、空泡征、支气管充气征、胸膜凹陷与血管聚集征等特点是恶性肺孤立性结节的特征性表现,而孤立性肺结节的直径对于疾病的诊断有一定的价值.结论 早期充分认识孤立性肺结节的影像学特征,正确评价结节的性质,能提高手术治疗效果.