支气管内膜结核的HRCT诊断和纤维支气管镜结果的对比分析  

The comparative analysis of the diagnostic results obtained from HRCT and fibrebronchoscope

作　　者：徐芳[1] 杨淑琴[1] 李丹丹[2] 梁平[1] 李长峰[2] 孙长江[1] 

机构地区：[1]吉林大学中日联谊医院放射科,吉林长春130033 [2]吉林大学中日联谊医院镜检科,吉林长春130033

出　　处：《中国实验诊断学》2006年第12期1492-1493,共2页Chinese Journal of Laboratory Diagnosis

摘　　要：目的利用HRCT和纤维支气管镜检查对支气管内膜结核的诊断进行对比分析。方法利用GE HiSpeedCT扫描机对20例支气管内膜结核患者对病变区行HRCT扫描,层厚1 mm,层间距1mm,螺距1.5。20例患者均行纤维支气管镜检查及活检或刷检。结果经HRCT诊断支气管内膜结核17例(占85%),经纤维支气管镜检查诊断18例(占90%),2例手术病理证实。其中浸润型6例,溃疡型4例,增生型3例,瘢痕狭窄型7例。结论纤维支气管镜检查是诊断支气管内膜结核最有效的方法,可以直接观察支气管腔的病变。HRCT作为无创性检查,能观察气道病变的部位和范围、气道病变及支气管壁与肺内病变的关系,为纤维支气管镜检查提供有价值的资料。Objective To compare the diagnostic results of HRCT and fiberbronchoscope with EBTB. Methods GE HiSpeed CT was performed with lmm at pitch 1.5 and lmm reconstruction interval in 20 patients with EBTB. 20 cases with EBTB proved by fiberoptic bronchoscopy and pathology.Results 17 cases with EBTB proved by HRCT （85.0%）, 18 cases with EBTB proved by fiberbronchoscope （90.0%） ,2 cases proved by pathology. Bronchoscopic results showed exudative lesions in 6 cases, granulomatous lesions in 3 cases, ulceraSve lesions in 4 cases, cicatricial lesions in 7 cases. Conelusion HRCT may play an important role in detecting the pathological changes of trachea and bronchi, as well as useful mateiral before the fiberoptic bronchoscopy.

关 键 词：支气管内膜结核 HRCT 纤维支气管镜 

分 类 号：R521.2[医药卫生—内科学]