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周围型肺癌干性胸膜转移的多层螺旋CT影像学诊断
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Journal Article
周围型肺癌干性胸膜转移的多层螺旋CT影像学诊断
2014
Overview
背景与目的周围型肺癌的胸膜转移率较高，且干性胸膜转移术前容易漏诊，造成不必要的手术，因此术前诊断就尤为重要。回顾性分析伴有干性胸膜转移的周围型肺癌的多层螺旋CT（multislice spiral computed tomography, MSCT）影像，并探讨其对干性胸膜转移的诊断价值。方法对27例经病理或临床证实的周围型肺癌伴有干性胸膜转移的MSCT影像学表现进行回顾性分析。结果本组27例干性胸膜转移，CT检出率为85%，叶间胸膜转移检出率为91%，非叶间胸膜检出率为63%。27例中多发胸膜结节者26例（96%），所有胸膜结节均位于病变同侧，有叶间胸膜结节者23例，多表现为小结节，可沿叶间胸膜呈串珠样或簇状排列；有非叶间胸膜结节者8例，以大结节多见，肺-结节界面清晰；27例中胸膜增厚者15例（56%），可表现为胸膜带状增厚、不均匀增厚或两者同时存在。本组干性胸膜转移者影像学表现以混合型多见（63%）。结论 MSCT对周围型肺癌患者干性胸膜转移有较好的诊断价值，尤其对表现为胸膜结节者有较高的准确性。
Publisher
250017济南，山东省医学科学院，山东省肿瘤防治研究院放射科,250007济南，济南大学，山东省医科院医学与生命科学学院%250017济南，山东省医学科学院，山东省肿瘤防治研究院放射科
Subject
