摘要
本文收集了我院近年来１００例胸部ＣＴ检查上显示肿瘤与纵隔相接触，但又不能确定是否有直接侵犯的肺癌病例，结合手术情况分析了ＣＴ表现与手术切除可能性之间的关系。作者认为，肿瘤与纵隔的接触直径及纵隔脂肪垫的存在与否，对于术前判断肿瘤能否切除有一定参考价值。ＣＴ上显示肿瘤与纵隔相接触的病例中。
Tbe CT Scans Of 100 Patients With Lung Cancer, Interpreted As
Indeterminate Mediasti-Nal Invasion, Were Retrospectively Reviewed Following Thoracotomy,
Forty-Eight (48%)Cases WithLung Masses Were Resectable Without Invasion Of The
Mediastinum .Thirty-Two(32%)Focally Inva-Ded Mediastinum But Were Technically Resectable.
And The Remaining 20 Were Unresectable Becau-Se Of Sever Mediastinal Invasion. The CT
Features That Were Analyzed Included The Diameter OfContact Mediastinum, The Fat Plate And
The Angles Formed With The Descending Aorta And The Med-Iastinum. We Found That If The
Diameter Of Contact Mediastinum Was Less Than 3 Cm Or The FatPlate Between Tumor And
Mediastinum Didn′T Disappear, It Was Almost Certain That The Tumor Cou-Ld Be Resected
(>95%). The Angles Formed With The Descending Aorta, And The Mediastinum
WereInsignificent For Evaluation Of Resecfability. Our Results Indicate That Although Ct Is
Generally NotHelpful In Differentiating Lung Masses With Or Without Mediastinal Invasion, It
May PlayAn Important Role In Separating A Large Number Of Masses Which Are Highly Likely
To BetechnicallyResectable.
出处
《军医进修学院学报》
CAS
1994年第4期244-246,共3页
Academic Journal of Pla Postgraduate Medical School
关键词
肺肿瘤
断层摄影术
纵隔
CT
Lung Neoplasms
Tomography,X-Ray
Computed
Mediastinum
