Exploration of imaging manifestations of multi-slice spiral CT in the diagnosis of thin-walled cystic lung cancer
多层螺旋CT应用于薄壁囊腔型肺癌诊断的影像学表现探讨

摘要

目的 探讨薄壁囊腔型肺癌临床诊断时使用多层螺旋CT的影像学表现及应用价值。方法 纳入我院2021年7月~2023年7月内收治的疑似薄壁囊腔型肺癌患者70例，患者均行多层螺旋CT诊断，以病理检查结果为金标准，对比其诊断结果。结果 病理诊断出薄壁囊腔型肺癌患者61例，检出率为87.14%；多螺旋CT诊断薄壁囊腔型肺癌患者58例，检出率为82.86%。多层螺旋CT诊断薄壁囊腔型肺癌的敏感度为94.83%，特异度为75.00%，准确度为95.08%。与病理诊断结果相比，多层螺旋CT的诊断结果差异不显著（P>0.05）。结论 临床在对薄壁囊腔型肺癌进行诊断时应用多层螺旋CT能够提供较高参考价值，该方式具有较高诊断准确率和灵敏度，能够在医生后续治疗计划中提供参考。

Abstract

Objective To explore the imaging manifestations and application value of multi-slice spiral CT in the clinical diagnosis of thin-walled cystic lung cancer.
Methods 70 patients with suspected thin-walled cystic lung cancer admitted to our hospital from July 2021 to July 2023 were included. The patients all underwent multi-slice spiral CT diagnosis, and the pathological examination results were used as the gold standard to compare the diagnostic results.
Results Pathology diagnosed 61 patients with thin-walled cystic lung cancer, with a detection rate of 87.14%; multi-spiral CT diagnosed 58 patients with thin-walled cystic lung cancer, with a detection rate of 82.86%. The sensitivity of multi-slice spiral CT in diagnosing thin-walled cystic lung cancer is 94.83%, the specificity is 75.00%, and the accuracy is 95.08%. Compared with the pathological diagnosis results, the diagnostic results of multi-slice spiral CT were not significantly different (P>0.05).
Conclusion   The clinical application of multi-slice spiral CT can provide high reference value when diagnosing thin-walled cystic lung cancer. This method has high diagnostic accuracy and sensitivity, and can provide doctors with reference in subsequent treatment plans.