支气管镜和胸部CT检查对中央型肺癌侵犯气管支气管的诊断价值比较  

Comparison of the diagnostic value of bronchoscopy and chest CT in central lung cancer invading trachea and bronchus

作　　者：周沈之 ZHOU Shenzhi(Fengyang County People's Hospital,Chuzhou 233100,China)

机构地区：[1]凤阳县人民医院,安徽滁州233100

出　　处：《临床医学研究与实践》2020年第24期133-135,共3页Clinical Research and Practice

摘　　要：目的比较支气管镜和胸部CT检查对中央型肺癌侵犯气管支气管的诊断价值。方法选取2018年4月至2019年1月我院收治的21例中央型肺癌侵犯气管支气管患者为研究对象,分别对患者实施电子支气管镜检查、胸部CT检查,以术后病理结果为金标准,比较支气管镜检查、胸部CT检查对肿瘤侵犯气管支气管的诊断价值。结果支气管镜联合胸部CT检查的诊断灵敏度、特异度、准确度略高于单用支气管镜检查,但差异无统计学意义(P>0.05);支气管镜联合胸部CT检查的诊断灵敏度、特异度、准确度均高于单用胸部CT检查(P<0.05);支气管镜检查的诊断灵敏度、特异度、准确度均高于单用胸部CT检查(P<0.05)。结论支气管镜和胸部CT检查联合诊断中央型肺癌侵犯气管支气管的诊断价值最高,其次是单独支气管镜检查。Objective To compare the diagnostic value of bronchoscopy and chest CT in central lung cancer invading trachea and bronchus.Methods From April 2018 to January 2019,21 patients with central lung cancer invading trachea and bronchus admitted in our hospital were selected as the research objects.The patients were examined by electronic bronchoscopy and chest CT respectively.The postoperative pathological results were used as the gold standard,the diagnostic value of bronchoscopy and chest CT for tumor invasion of trachea and bronchus were compared.Results The diagnostic sensitivity,specificity and accuracy of bronchoscopy combined with chest CT were slightly higher than those of bronchoscopy alone,but the differences were not statistically significant(P>0.05);the diagnostic sensitivity,specificity and accuracy of bronchoscopy combined with chest CT were higher than those of chest CT alone(P<0.05);the diagnostic sensitivity,specificity and accuracy of bronchoscopy were higher than those of CT alone(P<0.05).Conclusion The diagnostic value of bronchoscopy combined with chest CT in the diagnosis of central lung cancer invading trachea and bronchus was the highest,followed by bronchoscopy alone.

关 键 词：支气管镜检查 胸部CT 中央型肺癌 

分 类 号：R734.2[医药卫生—肿瘤]