胸部CT扫描与X线平片对肺结核及肺癌空洞积液量的测量差异

邢 漠  王国庆   孙定涛   马洪宇

（郑州市中医院，河南  郑州，450007）

中图分类号：R734.2     文献标识码：A    文章编号：1674-7860（2015）33-0134-02    证型：IDGB

【摘要】目的：主要研究针对肺结核及肺癌空洞积液量采用胸部CT扫描与X线平片方法对其测量差异进行分析。方法：针对同时进行胸部增强CT扫描及X线胸片的患者，确诊为空洞且积液的肺结核患者38例及肺癌患者34例，所有的患者都在医护人员的引导下实施积液穿刺，对三种测量方法加以比较，对积液量的差异进行研究。结果：运用胸部CT扫描的结核及癌性空洞患者的积液量比采用X线平片的患者多，并且运用胸部CT扫描的患者在穿刺中抽取的积液量也比进行X线平片的患者要多，但是胸部CT扫描的积液量和穿刺的积液量相比较并没有显著的统计学差异。结论：在相同的时间点，同一患者运用胸部CT扫描测量所得的空洞积液量一实际体积更加接近，则证采用明胸部CT扫描的测量精度更加的高。

【关键词】胸部CT扫描；X线平片；肺结核；肺癌；空洞积液量

【Abstract】Objective: To study the difference of themeasurement of CT and X-ray plain film in the volume of cavity effusion ofpulmonary tuberculosis and lung cancer. Methods: 38 cases of pulmonarytuberculosis and 34 patients with lung cancer and pulmonary tuberculosis, andthree cases were performed under the guidance of medical personnel. Results:Patients with tuberculosis and malignant ascites by chest CT scan were morethan that of X-ray plain film, and the amount of fluid in the patients withchest CT scan was more than that in patients with X-ray plain film, but therewas no significant difference in the volume of fluid volume and the volume offluid in the chest CT scan. Conclusion: at the same time point, the samepatients with CT scanning of the chest cavity volume of a real volume is moreclose to the actual volume.

【Keywords】Chest CT scan; X-ray plain film; Pulmonarytuberculosis; Lung cancer

doi:10.3969/j.issn.1674-7860.2015.33.066

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