[1]陈少斌,杨婕,范秋玲,等.肺纯磨玻璃及混合磨玻璃结节(实性成分≤5 mm)为浸润性腺癌的MSCT预测因子分析[J].福建医药杂志,2022,44(02):13-18.
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肺纯磨玻璃及混合磨玻璃结节(实性成分≤5 mm)为浸润性腺癌的MSCT预测因子分析()
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《福建医药杂志》[ISSN:1002-2600/CN:35-1071/R]

卷:
44
期数:
2022年02期
页码:
13-18
栏目:
临床研究
出版日期:
2022-04-15

文章信息/Info

文章编号:
1002-2600(2022)02-0013-06
作者:
陈少斌杨婕1范秋玲吴建满余庆华2
福建医科大学省立临床医学院 福建省立医院放射科(福州 350001)
关键词:
肺腺癌 浸润性腺癌 磨玻璃结节 多层螺旋CT 预测因子
分类号:
R734.2
文献标志码:
B
摘要:
目的 分析肺纯磨玻璃及混合磨玻璃(实性成分≤5 mm)结节为浸润性腺癌(IA)的多层螺旋CT(MSCT)预测因子。方法 回顾性分析我院经手术病理确诊的357个(332例)肺纯磨玻璃或混合磨玻璃结节(实性成分≤5 mm)的MSCT的定性及定量参数指标。对比非浸润性腺癌(NIA)组与IA组定性及定量参数指标差异。通过logistic回归分析寻找IA的独立预测因子。结果 非浸润组共211个(不典型增生14个,原位癌70个,微浸润127个),浸润组146个; 年龄平均(57.7±10.9)岁; 男性111例,女性221例。病灶三维最大径平均(12.4±6.2)mm。浸润组较非浸润组更容易表现为混合磨玻璃密度、不规则形状、边界不清,伴有毛刺、胸膜牵拉、穿行支气管壁增厚或扩张、穿行血管增粗或有分支。病灶三维最大径、病变CT值、病变绝对CT值及相对CT值、提取的18个3D体积及形状定量指标在两组间均有统计学差异。logistic回归分析显示,三维最大径、绝对CT值、Maximum是独立预测因子。结论 表现为肺纯磨玻璃或混合磨玻璃结节(实性成分≤5 mm)的IA对比NIA有不同的MSCT影像征象。病灶三维最大径、绝对CT值、Maximum是诊断IA的独立预测因子。

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备注/Memo

备注/Memo:
基金项目:福建省自然科学基金资助项目(2018J01243)
1 福建省三明市中西结合医院; 2 通信作者
更新日期/Last Update: 2022-04-15