摘要
目的对不同病理类型的肺内单发亚实性结节(subsolid nodules,SSNs)与支气管及周围血管的关系进行分型,探讨其对此类结节良恶性的诊断价值。方法回顾性分析101例经临床、病理证实的肺内单发SSNs的CT图像。按照支气管与SSNs中实性或磨玻璃成分关系分为5型,按照供血血管是否扭曲扩张及其走行将SSNs与供血血管的类型分为4型,对不同病理类型SSNs与支气管及血管类型进行统计学分析。结果良性结节47例中,支气管分型以Ⅴ型和Ⅳ型为多(27/47,17/47),血管分型以Ⅱ型和Ⅲ型为多(28/47,13/47);浸润性腺癌组39例中,支气管分型以Ⅰ型为多(21/39),血管分型以Ⅲ和Ⅳ型为多(23/39,12/39);癌前病变组、微浸润腺癌组、浸润性腺癌组支气管分型均未表现为Ⅴ型;微浸润腺癌组、浸润性腺癌组血管分型均未表现为Ⅰ型。不同病理类型SSNs与病变大小、支气管分型、血管分型间差异均有统计学意义(P<0.01)。结论不同支气管及血管分型提示不同病理类型SSNs,其对良恶性结节的判定具有重要意义。
Objective To classify the relationship between the subsolid nodules（SSNs）and the bronchi and the surrounding vessels in different pathological types,and to investigate the diagnostic value of benign and malignant nodules.Methods Multi-slice spiral CT imaging of 101 subsolid nodules were retrospectively reviewed.According to the relationships between bronchus and the component of subsolid nodules,the types between subsolid nodules and bronchi were divided into five types.Depending on the vasculars＇expansion or not and their tracks,the types between subsolid nodules and vasculars were categorized into four types.Statistical analysis was performed on the relationship between the types of vascular and brochi and subsolid nodules.＆nbsp;Results Of 47 benign subsolide nodules,brochus type Ⅴ and Ⅳ（27/47,17/47）were the main relationships and the vascular type Ⅱ and Ⅲ（28/47,13/47）were the main relationships.Of 39 invasive adenocarcinomas,brochus type Ⅰ （21/39 ）was the main relationship and the vascular type Ⅲ and Ⅳ（23/39,12/39 ）were the main relationships.All of the nodules of premalignant group,micro-invasive adenocarcinoma group and invasive adenocarcinoma group were not the brochus type Ⅴ and all of the nodules of micro-invasive adenocarcinoma group and invasive adenocarcinoma group were not the vascular typeⅠ.There was significant statistic significance between the different pathology patterns of subsolid nodules and the lesion sizes,the types of brochi and vascular （P〈 0.01 ）.Conclusion Different types of bronchi and vascular predict different pathology patterns of subsolid nodules.It is important to predict the malignant and benign of subsolid nodules.
出处
《河北医科大学学报》
CAS
2017年第10期1184-1188,F0003,共6页
Journal of Hebei Medical University
基金
河北省医学科学研究重点课题(20160685)
关键词
结节病
肺
体层摄影术
螺旋计算机
诊断
sarcoidosis
pulmonary
tomography
spiral computed
diagnosis
