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[区域扫描和断层扫描在肺部小球形病变鉴别诊断中的比较评估]

[Comparative evaluation of zono- and tomography in the differential diagnosis of small spherical formations in the lungs].

作者信息

Romanychev Iu A, Shekhter A I, Orlova I V

出版信息

Med Radiol (Mosk). 1984 May;29(5):25-8.

PMID:6727593
Abstract

A comparative analysis of zono - and tomography in 69 patients with minor peripheral cancer of the lung (26), tuberculoma (24), hamartoma (19) was performed. Zonography was shown to improve differential diagnosis between them. However, its importance is limited and helps to better visualize changes of the lung tissue around the formations, "a path" outgoing to the pulmonary radix and chest wall, and to detect the enlarged intrathoracic lymph nodes. Tomography is of greater informative value for the evaluation of the skialogical features of the formations and pleural changes. The combined use of zono - and tomography results in a better detection of different pathological lung formations of small sizes and changes in the pulmonary tissue enhancing the efficacy of differential radiodiagnosis between them.

摘要

对69例患有周围型小肺癌(26例)、结核瘤(24例)、错构瘤(19例)的患者进行了区域造影和体层摄影的对比分析。结果表明,区域造影有助于改善它们之间的鉴别诊断。然而,其重要性有限,有助于更好地观察病变周围肺组织的变化、通向肺门和胸壁的“路径”,并检测胸腔内肿大的淋巴结。体层摄影在评估病变的影像学特征和胸膜变化方面具有更大的信息价值。区域造影和体层摄影联合使用能更好地检测不同大小的肺部病理病变以及肺组织的变化,提高它们之间鉴别放射诊断的效果。

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