| 小细胞肺癌的多层螺旋CT征象分析 |
| 投稿时间：2016-05-10 修订日期：2016-05-23 点此下载全文 |
| 引用本文：李宇婷,张慧芬,郑祥武,吴立军.小细胞肺癌的多层螺旋CT征象分析[J].医学研究杂志,2017,46(1):39-42 |
| DOI：
10.11969/j.issn.1673-548X.2017.01.011 |
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| 基金项目:国家自然科学基金资助项目（面上项目）（81271663，31471146）；温州医科大学科研发展专项基金资助项目（QTJ06012） |
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| 中文摘要:目的 探讨小细胞肺癌的多层螺旋CT表现及分型。方法 选择经病理证实且行CT增强检查小细胞肺癌（small cell lung cancer，SCLC）45例，参照CT八分型法分析SCLC患者的CT表现。结果 45例SCLC患者中，中央肺门型10例（22.2%），中央合并纵隔型21例（46.7%），周围型6例（13.3%），周围合并纵隔型3例（6.7%），沿淋巴管扩散型2例（4.4%），胸膜转移型2例（4.4%），肺叶型1例（2.2%），类肺炎型0例（0）。结论 多层螺旋CT可清楚显示SCLC的特征，特别是增强扫描能清晰反映血管受侵情况，CT八分型法根据原发灶部位及转移情况进行分型，较传统两分型（中央型、周围型）更能满足临床需要。 |
| 中文关键词:体层摄影术 X线计算机 CT八分型法 |
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| Multidetector Spiral CT Manifestions of Small Cell Lung Cancer |
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| Abstract:Objective To analyze the multidetector spiral CT (MSCT) manifestions of small cell lung cancer and classify the types of SCLC. Methods Forty five patients of pathologically proven SCLC were examined mainly by contrast-enhanced CT scan.They were analyzed according to the CT eight-type classification. Results Among the 45 cases,there are 10 cases of central hilar type (22.2%),21of central complicated mediastinal type (46.7%),6 of peripheral type (13.3%),3of peripheral complicated mediastinal type (6.7%),2 of diffusion along lymphatic vessels (4.4%),2 of pleural multiple lesion and metastasis (4.4%)and 1of lung lobe type (2.2%). Conclusion MSCT can clearly show the characteristics of SCLC,especially enhanced scan can clearly reflect blood vessels invaded.CT eight-type classification of SCLC mainly based on primary locus involvement as well as scope of metastasis,which can better meet the clinical needs than traditional two classification (the central type,the peripheral type). |
| keywords:Tomography X-ray computed CT eight-type classification |
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