国际医药卫生导报2018，Vol.24Issue(8)：1253-1257,5.DOI:10.3760/cma.j.issn.1007-1245.2018.08.039
双排螺旋CT低剂量扫描在肺癌高危人群中的筛查效果及价值研究
Effect and value of low-dose scanning by double-helical CT for screening lung cancer in high risk population
冯新 1陈启才 1于伟 1高健 1冯涛2
作者信息
- 1. 257034 东营胜利油田中心医院保健科
- 2. 257034 东营胜利油田中心医院呼吸内科
- 折叠
摘要
Abstract
Objective To investigate the effect and value of low-dose scanning by double-helical CT for screening lung cancer in high risk population.Methods 1 983 subjects taking physical examination at our hospital from August,2014 to June,2017 were selected.All the subjects underwent DR radiographs and the suspected subjects took low-dose scanning by spiral CT.The images were obtained by CT and DR radiography and observed.The results of one opinion were included.The results of different opinions were intervened by third physician and followed the majority principle of obedience.The diagnosed patients were correspondingly treated and followed up.The effect and value of low-dose scanning by double-helical CT for screening lung cancer in high risk population were analyzed.Results Among the 1 983 cases,89 cases were diagnosed with lung cancer by pathological examination and the diagnosis rate was 4.49％.Low-dose spiral CT detected 194 nodules,which was 43 higher than the DR (P ＜0.05).More case were suspected with malignant nodules and the lung cancer diagnosis rate was higher by low-dose spiral CT and than by DR test (P ＜0.05).85 cases were diagnosed with lung cancer by low-dose spiral CT;among the 85 cases,56.47％ were male and 43.53％ female,with a statistical difference (P ＜0.05).The incidences squamous cell carcinoma and small cell carcinoma were higher in male than in female (P＜0.05).52.94％ were diagnosed with stage Ⅰ lung cancer and 37.65％ stage Ⅱ by low-dose spiral CT examination.45.88％ lesions' diameters were less than 5 mm and 44.71％ 5-10 mm.Conclusion Low-dose scanning by doublehelical CT for screening lung cancer in high risk population is effective and is helpful for the early diagnosis and can provide imaging evidence for clinical treatment,so it is worth being generalized.关键词
低剂量螺旋CT/肺癌高危人群/筛查/应用价值/远期生存Key words
Low dose spiral CT/High risk population of lung cancer/Screening/Application value/Long-term survival引用本文复制引用
冯新,陈启才,于伟,高健,冯涛..双排螺旋CT低剂量扫描在肺癌高危人群中的筛查效果及价值研究[J].国际医药卫生导报,2018,24(8):1253-1257,5.
