74例孤立性肺结节临床诊治分析

目的]分析74例孤立性肺结节临床特征及诊断。方法]对74例孤立性肺结节患者临床、CT、经皮穿刺肺活检术及手术病理进行回顾性分析。结果]74例患者CEA增高51例（69％），痰脱落细胞学发现癌细胞9例（12％），CT诊断肺癌56例。26例行经皮穿刺肺活检术，42例手术治疗，术后诊断肺癌46例（62％）。本组病例确诊肺癌与非肺癌分组比较，CEA、HRCT与经皮穿刺肺活检术阳性和诊断分别为38（74．51％）、13（25．49％）、39（75．00％）、13（25．00％）、21（80．77％）、5（19．23％），两组间比较有显著性统计学差异。结论]孤立性肺结节患者以周围型肺癌及结核球居多，诊断以CEA、薄层CT扫描、经皮穿刺肺活检术为主要手段。

Clinical analysis of 74 solitary pulmonary nodule cases

Objective] To analyze the clinical features and diagnosis of 74 cases of solitary pulmonary nodule(SPN).Methods]Review analyses on the clinical feature,CT,Percutaneous needle biopsy for lung nodules,operation pathology of 74 SPN cases were described.Results]CEA in 51 patients were positive(69%),9 cases were positive on cellular diagnosis in sputum,56 patients were diagnosed lung cancer by CT,Percutaneous needle biopsy were performed on,42 patients were treated by operation,and 46 cases(62%) were virtued as lung cancer.Conclusion]Lung cancer and TB were the main diseases in SPN,and HRCT,Percutaneous needle biopsy,operation were the effective methods for the diagnoses of SPN.