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目的探讨电子支气管镜检查对肺部阴影性病变的诊断价值。方法使用X线胸部摄片、肺CT等方法检出肺部阴影患者427例,经电子支气管镜观察联合多种取材方法活检、刷检、灌洗液等送病理检查或培养,并以病理结果及诊断性治疗、随访为最终临床诊断,以其为金标准进行比较。结果支气管镜检查与金标准检查对肺结核、肺癌、肺部炎症诊断的符合率分别为79.6%、74.5%、82.4%。综合性诊断电子支气管镜下所视各种改变发生率在4种疾病间差异有统计学意义(P<0.05)。结论电子支气管镜检查联合运用多种取材方法是明确肺部阴影性质的一种简便且准确率较高的方法。
Objective To investigate the diagnostic value of electronic bronchoscopy in the diagnosis of lung shadow lesions. Methods 427 cases of lung shadow were detected by X-ray chest radiography, lung CT and other methods. The pathological examination or culture was performed by electronic bronchoscopy combined with various methods of biopsy, brush examination and lavage. Pathological findings And diagnostic treatment, followed up for the final clinical diagnosis, with its gold standard for comparison. Results The coincidence rates of bronchoscopy and gold standard examination on diagnosis of pulmonary tuberculosis, lung cancer and pulmonary inflammation were 79.6%, 74.5% and 82.4% respectively. Comprehensive diagnosis of electronic bronchoscopy, the incidence of various changes in the four diseases showed significant difference (P <0.05). Conclusion The combination of electronic bronchoscopy with multiple methods of extraction is a simple and accurate method of determining the nature of the lung shadow.