肺上叶前段占位性病变性质判定相关因素分析

目的 探讨影响肺上叶前段占位病例诊断的影响因素。方法 回顾性分析首都医科大学宣武医院胸外科2013年1月1日至2015年1月31日间38例肺上叶前段占位患者的资料。结果 肺上叶前段占位病例的单因素分析，在所有确定有CT影像边缘分叶的病例中，患者的年龄、吸烟史、癌胚抗原（carcino-embryonic antigen，CEA）、单光子发射计算机断层成像术（single-photon emission computed tomography，SPECT）有无放射性凝聚差异有统计学意义（P<0.05），在所有左肺上叶前段占位的病例中，患者的CEA、CT影像边缘分叶比较，差异均有统计学意义（P<0.05），在所有右肺上叶前段占位的病例中，患者的年龄，吸烟，CEA、边缘分叶、SPECT放射性凝聚差异有统计学意义（P<0.05）。肺上叶前段占位病例的多因素分析，在所有确定有CT影像边缘分叶的病例中，患者的CEA、SPECT有无放射性凝聚差异有统计学意义（P<0.05），在所有右肺上叶前段占位的病例中，患者的CEA，边缘分叶差异有统计学意义（P<0.05）。结论 影响判断肺上叶前段占位病例诊断的主要因素为年龄、吸烟史、CEA、SPECT有无放射性凝聚等，需综合分析、评估，早诊断早治疗，达到良好的治疗效果。

Clinical evaluation of the factors related to the properties of the upper lobe of the lung

Objective To investigate the factors influencing the diagnosis of diseases of the lung' upper lobe. Methods Retrospective analysis was conducted on data of the department of thoracic surgery in Xuanwu Hospital of Capital Medical University from January 1, 2013 to January 31, 2015 according to the inclusion and exclusion criteria of the 38 patients with the upper lobe of the lung data, using SPSS 19.0 statistical software. Results In the single factor analysis in patients with anterior section space-occupation, in all the cases with CT image edge of leaf cases, the age, smoking history, carcino-embryonic antigen(CEA) and single-photon emission computed tomography(SPECT) have no radioactivity condensed had statistical significance; in all the cases with upper lobe of the left lung space-occupying, CEA and CT images of the patients with leaves had statistical significance, all in the right upper lobe anterior space-occupying cases, age, smoking history, CEA, burr of the patients, the edge of leaf were statistically significantly different. In the multifactorial analyses of cases with upper lobe of lung segment space-occupation, in all cases with the CT image edge of leaf, CEA, SPECT has no radioactive condensation had statistical significance, in all the cases with the right upper lobe anterior space-occupying cases, CEA and the edge of leaf was statistically significant. Conclusion The main factors influencing diagnosis of space-occupation in anterior segment of upper lobe of the lungs were age, smoking history, CEA and SPECT have no radioactive condensation, comprehensive analysis and evaluation, early diagnosis and early treatment are needed.