电子和荧光电子支气管镜在诊断肺癌中的研究  

Studying the utilization of electronic and fluorescence electronic bronchoscope in diagnosing lung cancer

作　　者：郑圆圆[1] 李薇[1] 余泽明[1] 

机构地区：[1]昆明医学院第一附属医院呼吸内科,云南昆明650031

出　　处：《云南医药》2011年第6期570-573,共4页Medicine and Pharmacy of Yunnan

摘　　要：目的评价电子支气管镜和荧光电子支气管镜在肺癌诊断中的价值。方法选取本院2008~2010年度382例经支气管镜检查且病理学明确诊断为肺癌患者的数据,对电子支气管镜检查302例、荧光电子支气管镜检查80例进行统计学分析。根据镜下肉眼所见病变性质分组为新生物组、浸润组、外压组、炎症组及未见异常组。结果1.经电子支气管镜检查302例,诊断肺癌170例,诊断率为56.3%。其中新生物组诊断肺癌108例,诊断率96.4%,浸润组诊断肺癌27例,诊断率81.8%,外压组诊断肺癌14例,诊断率18.7%,炎症组诊断肺癌17例,诊断率53.1%,未见异常组诊断肺癌4例,诊断率8%。2.荧光电子支气管镜检查80例,诊断肺癌55例,诊断率为68.8%。其中新生物组诊断肺癌27例,诊断率96.4%,浸润组诊断肺癌9例,诊断率90%,外压组诊断肺癌7例,诊断率36.8%,炎症组诊断肺癌7例,诊断率77.8%,未见异常组诊断肺癌5例,诊断率35.7%。诊断率高于使用电子支气管镜（P〈0.05）。结论电子支气管镜检查对肺癌的确诊有重要价值,镜下所见病变与肺癌的诊断率相关。荧光电子支气管镜对肺癌的诊断更有价值,诊断率高于电子支气管镜检查。Objective To evaluate the value of electronic bronchoscopy and fluorescence electronic bronchoscopy in diagnosing lung cancer.Methods During 2008 to 2010,382 cases of lung cancer were diagnosed by pathology.According to bronchoscopic amd naked eye observation,these cases were further divided to new biological group,invasive group,external pressure group,inflammatory group and no abnormal group.Among these 382 cases,302 undertook elctronic bronchoscopy and 80 undertook fluorescence bronchoscopy.The data between them were compared.Results 1.170 cases in 302 cases of e-bronchoscopy were diagnosed of lung cancer with diagnostic rate of 56.3%,in the new biological group with diagnostic rate of 96.4%,in invasive group with diagnostic rate of 81.8%,in external pressure group with diagnostic rate of 18.7%,in inflammation group with diagnostic rate of 53.1%,and in no abnormal group with diagnostic rate of 8%.2.80 patients undertook fluorescence electronic bronchoscopy,55 cases of them were diagnosed of lung cancer with diagnostic rate of 68.8%,in new biological group with diagnostic rate of 96.4%,in invasive group with diagnostic rate of 90%,in external pressure group with diagnostic rate of 36.8%,in inflammation group with diagnostic rate of 77.8%,and in no abnormal group with diagnostic rate of 35.7%.Diagnostic rates were higher than that of electronic bronchoscopy（P0.05）.Conclusion Fluorescence electronic bronchoscope has important value in diagnosis of lung cancer with higher diagnostic rate than that of electronic bronchoscopy.

关 键 词：肺癌 诊断 电子支气管镜 荧光电子支气管镜 

分 类 号：R734.2[医药卫生—肿瘤]