棋牌大全下载安装

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                        1. 当前位置: 代写一篇论文多少钱 > 医学论文 > 亚厘米肺结节老年患者诊断中CT随访数据的运用

                          亚厘米肺结节老年患者诊断中CT随访数据的运用

                          时间:2018-12-13 09:04作者:徐贤强
                          本文导读:这是一篇关于亚厘米肺结节老年患者诊断中CT随访数据的运用的文章,老年患者在亚厘米肺结节诊断初期,临床医师主要是运用CT特征进行分析,进而明确肺结节的性质,同时也以此制定完善的手术方案与PET检查,其中CT随访也有着较为重要的作用与地位。

                            摘    要: 目的 针对老年患者亚厘米肺结节术前进行CT随访,同时对于病灶变化情况进行观察与分析。方法 针对80例已确诊的浸润性与微浸润腺癌老年患者CT随访数据信息进行收集与整理。结果 病灶变大患者为35例,内实性成分增多患者为25例,同时出现病灶变大与内实性成分增多患者为12例,而8例患者病灶无明显变化。结论 当亚厘米肺结节出现病灶变大与内实性成分增多时则表明病症具有恶性特征。

                            关键词: 亚厘米; 肺结节; CT随访;

                            LAONIANHUANZHEZAIYALIMIFEIJIEJIEZHENDUANCHUQI,LINCHUANGYISHIZHUYAOSHIYUNYONGCTTEZHENGJINXINGFENXI,JINERMINGQUEFEIJIEJIEDEXINGZHI,TONGSHIYEYICIZHIDINGWANSHANDESHOUSHUFANGANYUPETJIANCHA,QIZHONGCTSUIFANGYEYOUZHEJIAOWEIZHONGYAODEZUOYONGYUDIWEI。ZAILIYONGCTSUIFANGSHUJUSHI,KEWEILINCHUANGYISHIJUECETIGONGYOULIDESHUJUZHICHI。

                            1 、资料与方法

                            1.1 、一般资料

                          棋牌大全下载安装   YIWOYUAN2014NIAN7YUE~2018NIAN7YUESHOUZHIDE80LIYUANWEIXIANAI、XIANLIUYANGZENGSHENG、WEIJINRUNXIANAI、JINRUNXIANAILAONIANHUANZHEZUOWEIYANJIUMUBIAO。QIZHONGNAN25LI(10WUXIYANSHI,15RENCUNZAIXIYANSHI),NV55LI(WUXIYANSHI)。ZHENDUISUOYOUHUANZHESHIYICTSUIFANG,QIZHONGZUIZHANGSUIFANGSHIJIANYUEWEI5NIAN,ERZUIDUANSUIFANGSHIJIANWEI7GEYUE。

                            1.2、 方法

                            (1)CTJIANCE。SHIYONGCTJIDUIHUANZHEDEFEIBUJINXINGSAOMIAO。QIZHONGYI0.625 mmYU1 mmHOUDUZUOWEICENGJIANGE,TONGGUOGAOFENBIANLVSUANFADUITUXIANGJINXINGZHONGSU,BINGSHIYONGMPRSHIXIANZHONGZU。ZAISUIFANGGUOCHENGZHONGXUBAOZHENGGUANDIANYAZAI70 KVYIXIA,ERGUANDIANLIUBAOCHIZAI200 mA。SHEDINGGUANCHACHUANGSHI,GUANCHACHUANGCHUANGKUANYUCHUANGWEIYINGWEI1450~1500HU。TONGSHIZHENDUIHUANZHEBINGZAOXUEGUANZHUANGTAI、SHIZHICHENGFEN、XIONGMOAOXIANCHENGDU、MIDU、GUIMO、XINGTAI、BIANYUANDENGJINXINGGUANCHA[1]。JIEZHEXUYAOJUYOUFENGFUXIONGBUFANGSHEZHENDUANJINGYANYUZIZHIDEZHUANYEYISHITONGGUOMANGFAFENXIBINGZHENG,RUOCHUXIANCHONGTUYUMAODUNSHIXUZAITAOLUNHOUJINXINGMINGQUE。

                            (2)病理诊断。以肺腺癌分类标准为出发点,确保标本的获取途径为开胸手术与胸腔镜。同时在固定标本时应使用中性甲醛,并通过石蜡包埋、制片、常规染色体方法分析病症[2]。而当诊断较为困难时,就需要使用免疫组织化学染色方法。另外,亚厘米肺结节还有着以下特征。腺瘤样增生:上皮细胞具有不典型增生现象,并随着支气管壁与肺泡不断生长,同时也具有纤维增生与炎性增生特征;原位腺癌:肿瘤细胞在肺泡壁上生长具有较强扶壁式特征;微浸润腺癌:腺癌细胞生长具有扶壁式特征,而浸润病灶直径在0.5 cm以下;浸润性腺癌:病变浸润规模在0.5 cm以上。
                           

                          亚厘米肺结节老年患者诊断中CT随访数据的运用
                           

                            1.3、 观察指标

                          棋牌大全下载安装   PINGJIALAONIANHUANZHEYALIMIFEIJIEJIECHUZHENYUFUZHENBINGZAOSHIJIBIANHUAQINGKUANG。

                            1.4、 统计学方法

                          棋牌大全下载安装   YUNYONGSPSS 20.0RUANJIANFENXISHUJU,SHIYONGBIAOSHISUOYOUJILIANGZILIAO,BINGSHIYONGtJINXINGJIANYAN,P<0.05,YOUYIYI。

                            2、 结果

                            LAONIANHUANZHEYALIMIFEIJIEJIECHUZHENYUFUZHENBINGZAOSHIJIBIANHUAQINGKUANG。RUBIAO1SUOSHI。

                            表1 初诊与复诊病灶变化数据
                          表1 初诊与复诊病灶变化数据

                            3 、讨论

                          棋牌大全下载安装   ZAICHULIFEIJIEJIEBINGZHENGSHI,KEGENJUSHIJIXUQIUSHIYISANZHONGFANGFA,JISHOUSHUZHILIAOFANGFA、FEISHOUSHUZHILIAOFANGFAYUCTSUIFANGGUANCHAFANGFA。QIZHONGYALIMIJIEJIEMIANJIXIAO,CHUZHENSHIWUJIAOWEIMINGXIANDEYINGXIANGZILIAOTEZHENG,WUFAJINGZHUNFENXILIANGXINGYUEXING,QUCAIYEYOUJIAODANANDU,ERLAONIANHUANZHEHAIYOUHEBINGDUOZHONGJICHUJIBINGTEDIAN,ZHEISHIDESHOUSHUYOUZHEHENDAXIANZHI。YINCICTSUIFANGJIUJUYOUJIAOQIANGDEYOUSHIYUJIAZHI[3]。YALIMIFEIJIEJIEZAISHIJIYANHUAQIJIANCUNZAIYIXIATEZHENG:(1)ZENGDA。JINRUNXINGXIANAIZENGZHANGSUDUZUIKUAI,ERWEIJINRUNXIANAIZENGZHANGSUDUDAYUYUANWEIXIANAIYIJIXIANLIUYANGZENGSHENG。XIANGGUANYANJIUXIANSHICHENG,LIANGXINGJIEJIEBEIZENGSHIJIANXIANGDUIJIAODUAN,DANZAIBINGLIBUTONGYINSUYINGXIANGXIAEXINGJIEJIEBEIZENGSHIJIANZEZAI35~135TIAN。ZAIYASHIXINGFEIJIEJIECHULIZHONG,DANGJIEJIEZHIJINGZAI10 mmYISHANGSHI,XUYAOHUANZHEZAICTJIANCHAHOU90TIANZAICIJINXINGFUCHA。RUORENGCUNZAIBINGZAO,JIUXUYAOGENJUSHIJIXUQIUSHIYIFEISHOUSHUHUOJIANYIJIWAIKEQIECHUFANGFA。BENWENYANJIUMUBIAOZHONGYOU5LICUNZAIXIAOYU8 mmCHUNMOBOLIJIEJIE,ERZAISUIFANGSHIWURENHEBIANHUA,TONGGUOBINGLIFENXIHOUQUERENWEIWEIJINRUNXIANAI、XIANLIUYANGZENGSHENGYUYUANWEIXIANAI,ZHEIYOUXIAOBIAOMINGZHIYAOCUNZAICHUNMOBOLIJIEJIEJIUXUYAOJUYOUJIAOGAODEGUANZHUYUZHONGSHI。(2)BIANSHI。QIZHUYAOKEFENWEISANZHONGXIANXIANG,JICHUNMOBOLIJIEJIEZHONGCHUXIANSHIXINGCHENGFEN、SHIXINGJIEJIEZHONGSHIXINGCHENGFENHANLIANGZENGJIAYIJIJIEJIEZHONGJUYOUKONGDONGWEIWANQUANTIANMAN。(3)XUEGUANZENGCU。BINGZAOZHONGCUNZAIXUEGUAN,ERQICUNZAIJUJI、JIANGYING、NIUQUDENGXIANXIANGSHI,JIUYOUJIAODAJILVBIAOMINGJIEJIEJUYOUEXINGTEZHENG。ZHUYAOYUANYINJIUSHIBINGZAOZHONGCUNZAIDEDALIANGXIANWEIDUIYUBINGZAOFUJINYUNXINGDEXUEGUANJUYOUYIDINGQIANLAXING。TONGSHIZHONGLIUZUZHIYOUZHEJIGAODESHENGZHANGDAIXIENENGLI,ZHEIJIUSHIDEQISUOXUXUELIANGYEXIANGDUIJIAOQIANG,JINERSHIDESUOYOUGONGXUEXUEGUANNEIBUCHUXIANZENGHOUXIANXIANG。LINGWAIZHONGLIUZUZHIYEHUIDUIXUEGUANBUDUANJINXINGQINSHI,ZHEIYEHUISHIXUEGUANNEIBUBUDUANZENGHOU,CONGERDAOZHIXUEGUANNEIQIANGJIAOWEIXIAZHAI,ZHEIYESHIQIANGNEILIUSHUANXINGCHENGDELIANGHAOHUANJING。ERZHEIYEHUIJINYIBUTIGAOBINGZAOFUJINXUEGUANHOUDU。

                          棋牌大全下载安装   ZONGSHANGSUOSHU,DANGYALIMIFEIJIEJIEJUYOUBIANSHI、ZENGDADENGXIANXIANGSHI,JIUKENENGBIAOSHIJIEJIEWEIEXING,YINCIXUJISHISHIYIKEXUECHULI。

                            参考文献

                            [1] 江贤亮,徐美清,徐世斌,柯立.胸腔镜肺段切除治疗亚厘米肺结节[J].中国微创外科杂志,2018,18(06):494-496.
                            [2] 苏雷,支修益,张毅,许庆生,胡牧,钱坤,李元博.亚厘米肺结节的外科诊疗分析[J].中国微创外科杂志,2017,17(01):11-14.
                            [3] 崔华子,陈爱林,叶永强,张守林,温美如,何红红.CT引导穿刺亚厘米肺小结节放置手工钢丝钩定位在胸腔镜手术中的应用[J].中国当代医药,2016,23(03):71-74.

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