巩若箴 王宝堂 王锡明 宋述永 250021 济南,山东省医学影像研究所(王宝堂、宋述永为进修医生) 中华放射学杂志 1999 0 33 6


    关键词：胸腔积液；体层摄影术；X线计算机 期刊 zhfsxzz 0 胸部放射学 fur -->


    

【摘要】 目的 评价CT胸腔造影检查在胸膜病变诊断中的作用。方法 应用CT胸腔造影检查对50例非包裹性胸腔积液病人进行前瞻性研究。结果 24例常规CT所显示的病灶CT胸腔造影检查均能显示，其中13例检出了更多的病灶；26例常规CT显示阴性者中20例CT胸腔造影检查检出病灶。常规CT检出胸膜病变的敏感性为25%，特异性为100%，准确性为30%；胸腔造影检查检出胸膜病变的敏感性为86%，特异性为100%，准确性为87%。结论 CT胸腔造影检查在胸膜病变的检出及良恶性病变的鉴别诊断方面明显优于常规CT检查。

Evaluation of CT pleural contrast examination

GONG Ruozhen, WANG Baotang, WANG Ximing, et al.

    Shandong Medical Image Research Institute, Jinan 250021

【 Abstract】 Objective To evaluate the ability of CT pleurography (CTP) in detection and diagnosis of pleural diseases. Methods A perspective study of 50 patients with pleural effusion was conducted using conventional CT and CTP. Results In 24 cases all the lesions detected by conventional CT, were demonstrated by CT pleurography. In 13 of the 24 cases, CT pleurography detected additional lesions. In 20 of 26 cases with negative finding on conventional CT, CT pleurography was capable of demonstrating the presence of pleural lesions. The sensitivity, specificity and accuracy of detecting pleural lesions were 25%, 100% and 30% for conventional CT, 86%, 100% and 87% for CT pleurography. Conclusions CTP is superior to conventional CT in detecting and differential diagnosis of benign and malignant pleural diseases.

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