目的：探讨纤维支气管镜应用于中央型肺癌的诊断价值。方法：回顾性分析137例中央型肺癌患者的临床资料，分析纤维支气管镜的诊断准确率和镜下表现，并与传统CT影像学检查进行比较。结果：纤维支气管镜诊断准确率为90.51%，高于胸部CT检查(占75.91%)，差异有统计学意义(x2=10.450，P＜0.05)，纤维支气管镜对鳞癌、未分化癌和腺癌的诊断准确率分别为92.86%、92.68%和66.67%，纤维支气管镜直视下最多见的是增生型肺癌(占61.31%)。结论：纤维支气管镜在中央型肺癌的诊断中具有CT和MRI不可替代的重要价值。%Objective:To investigate the diagnostic value of fiber bronchoscopy for central lung cancer.Methods: The clinical data of 137 patients with central lung cancer were retrospectively analyzed. The diagnostic coincidence rate and the performance of the bronchoscopy were analyzed and compared with the traditional CT imaging examination.Results: The coincidence rate of diagnosis(90.51%) was higher than that of CT (75.91%) (x2=10.450,P<0.05). The diagnostic coincidence rate of flexible fiberoptic bronchoscope of squamous cell carcinoma, undifferentiated carcinoma and adenocarcinoma was 92.86%%, 92.68% and 66.67% respectively. The most common type of the fibrous branch was hyperplasia (61.31%) by flexible fiberoptic bronchoscope.Conclusion:In the diagnosis of central lung cancer, the fiber bronchoscopy has important value of MRI and CT can not be replaced.
展开▼
