低剂量16排螺旋CT扫描并靶扫与传统直接数字化X线摄影胸片筛选早期肺癌的临床价值比较分析

摘要

目的：比较分析低剂量16排螺旋CT扫描并靶扫与传统直接数字化X线摄影（DR）胸片筛选早期肺癌的临床价值。方法随机选取2012年5月至2016年5月湖北省宜昌市兴山县人民医院收治的80例肺癌高危患者，对所有患者进行传统DR胸片和低剂量16排螺旋CT扫描并靶归检查，然后对两种方法检出不同大小的结节数及筛选病理结果进行统计分析。结果低剂量16排螺旋CT扫描并靶扫不同大小结节总检出率19％（15/80）显著高于传统DR胸片5％（4/80）（P＜0．05），肺癌检出率5％（4/80）显著高于传统DR胸片2％（2/80）（P＜0．05）。结论低剂量16排螺旋CT扫描并靶扫比传统DR胸片筛选早期肺癌具有较高的临床价值，值得在临床推广。%Objective To compare and analyze the clinical values of low-dose 16-slice spiral CT scan and tar-get sweep and traditional DR chest in the screening of early stage lung cancer. Methods Eighty cases of high-risk lung cancer patients admitted to department of radiology, the people′s hospital of Xingshan county, Yichang city, Hubei Province from May 2012 to May 2016 were randomly selected, all patients were checked by chest X-ray and low dose DR traditional 16-slice spiral CT scan and target return check, and then the nodules of different sizes detect-ed and screening pathological results of the two methods were statistically analyzed. Results The detection rate of different target nodule sizes of low-dose 16-slice spiral CT scan and sweep 19% (15/80) was significantly higher than traditional DR chest 5%(4/80) (P<0.05), the lung cancer detection rate 5%(4/80) was significantly higher than tradi-tional DR chest 2% (2/80) (P<0.05). Conclusion Low-dose 16-slice spiral CT scan and chest X-ray target sweep in the screening of early lung cancer has higher clinical value than traditional DR, so worthy of promotion in the clinical.