标题：肺内孤立性小结节的筛查结果分析

      作者：韩向君，俞安乐，战跃福，陈建强
    (海口市人民医院放射科，海南 海口 570208)

      卷次： 2014年25卷20期

      【摘要】 目的 通过对肺内结节的筛查及定期复查达到早期诊断和鉴别诊断的目的。方法 应用多层螺旋
CT对40岁以上10 908例健康人的肺部进行低剂量或常规剂量的检查和筛查。结果 341例中发现341个结节，占
3.13%，男性266个结节，占3.71%，女性75个结节，占2.01%，143例定期复查后，120例结节无变化，18例结节缩小，5
例结节略增大。结论 多层螺旋CT在肺内结节的筛查中具有明显的优势，采用低辐射剂量筛查更具有推广性。

      【关键词】 肺脏；孤立性小结节；筛查

      【中图分类号】 R445 【文献标识码】 A 【文章编号】 1003—6350（2014）20—3007—02


Screening and analysis of small solitary pulmonary nodules.
HAN Xiang-jun, YU An-le, ZHAN Yue-fu, CHEN
Jian-qiang. Department of Radiology, Haikou People's Hospital, Haikou 570208, Hainan, CHINA

【Abstract】 Objective To study the value of screening of pulmonary nodules for early diagnosis and differ-
ential diagnosis. Methods A total of 10,908 healthy people aged over 40 years old were enrolled to screen lungs by
multislice spiral CT with low-dose or conventional dose. Results A total of 341 nodules (3.13%), of which 266 nod-
ules in males (3.71%), and 75 nodules in females (2.01%) were observed. After follow-up in 143 cases, 120 cases with
no change in nodules, 18 cases with narrowing nodules, and 5 cases with slightly increasing nodules were detected.
Conclusion Multislice spiral CT has obvious advantages in screening for lung nodules, especially in low radiation dose.

      【Key words】 Lungs; Small solitary nodules; Screening