体检人群胸部CT检出921例肺部结节的影像学特征分析
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Imaging features of 921 pulmonary nodules detected by chest CT in the health check-up people
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    摘要:

    目的 分析健康人群体检肺部结节分布和影像学特点。方法 收集复旦大学附属浦东医院2016年1月~2017年1月5192名健康体检者的肺部 (100 mA,5 mm层厚)螺旋CT扫描图像,发现921例肺结节患者,对所有肺结节患者一般资料及肺结节分布特点进行详细分析。结果 健康人群肺结节检出率为17.74%。低剂量螺旋CT扫描在检出的肺结节数目、大小、部位、边缘、内部结构与周边结构等方面,显示较清晰;其中男性481例,女性440例,肺结节以60~80岁年龄段的人群多见;单肺单发631例,单肺多发91例,双肺多发197例;肺上叶316例,肺下叶247例,肺中叶20例,胸膜下结节90例,其他部位(纵隔、叶间裂、斜裂、散在)105例;进一步对结节性质进行分析,有钙化35例,肺磨玻璃样结节65例,伴有淋巴结肿大6例。结论 胸部CT肺部结节检出率较高,男女无差别,肺结节以单发为主,结节性质以磨玻璃样结节多见。

    Abstract:

    Objective With the popularity of chest CT in health checkup, the detection rate of pulmonary nodules was getting higher. The distribution and characteristics of pulmonary nodules in healthy people were analyzed in this study.Methods We detected 5192 f healthy people from January 2016 to January 2017 in Pudong Hospital Affiliated to Fudan University, and 921 patients of pulmonary nodule. The general data and distribution and characteristics of all patients with pulmonary nodules were further analyzed. Results The detection rate of pulmonary nodules in healthy people was 17.74%. Low dose spiral CT had a advantage in number, size, location, edge, internal and external structures of pulmonary nodules. For example, there were 481 males and 440 females, and pulmonary nodules were common in aged 60 to 80 years. There were 631 cases in single lung, 91 cases of more than 2 nodules in single lung, 197 cases with multiple lungs. There were 316 cases in the upper lobe of lung, 247 cases in the lower lobe, 20 cases in the middle lobe of lung, 90 cases of pleural nodules and 105 cases of other parts (mediastinal, interlobular fissure, oblique fissure, scattered distribution). After further analyzing, there were 35 cases of calcification, 65 cases of ground glass nodule and 6 cases lymph node enlargement. Conclusion The detection rate of pulmonary nodules in Chest CT is high. There is no difference between male and female, and solitary pulmonary nodule is the main, nodule nature of ground glass is more common.

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  • 在线发布日期: 2018-07-17
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