摘要
目的 联合应用影像学 (胸部X线和CT)提高纤支镜对肺癌的诊断。方法 选择我院纤支镜后组织病理学确诊的肺癌 177例 ,全部病例在做纤支镜前 1周内进行胸部X线或CT检查 ,并将影像学征象与纤支镜下表现及其病理学类型进行对照分析。结果 中央型肺癌 16 5例 ,周围型肺癌 12例 ;纤支镜下主要表现有 :外向型生长 98例 ,浸润型生长 6 3例 ,仅见间接征象 5例 ,未见异常 12例 ;组织病理学类型 :鳞癌 117例 ,腺癌 2 9例 ,小细胞癌 2 4例 ,其它肿瘤 7例 ;影像学征象表现有 :肺部肿块影 116例 ,阻塞性肺炎表现为主 2 7例 ,以局限性肺不张表现为主 19例 ,片状模糊的阴影 12例 ,两肺多发结节影 3例。结论 纤支镜和影像学征象对肺癌的诊断各有特点 ,两者联合应用 ,可取长补短 。
Objective To improve the diagnosis of the lung cancer by fiber-bronchoscopy and imaging of chest CT or X ray. Methods 177 cases of lung cancer were diagnosed by fiber-bronchoscopy and pathology, and checked by chest CT or X ray within a week by fiber-bronchoscopy, and then made a comparison between them. Results 165 cases were the central lung carcinoma, 12 cases peripheral lung cancer. The fiber-bronchoscopic findings showed that, 98 cases were outwardly-oriented growth, 63 cases were infiltrative growth, 5 cases only showed indirect symptom, 12 cases were normal. The pathological finding showed that, 117 cases were squamous cell carcinoma, 29 cases were adenocarcinoma, 24 cases were the small cell lung cancer, 7 cases were other types lung cancer. The imaging symptom showed that, 116 cases were mass shadow of lung, 27 cases only showed obstructive pneumonitis, 19 cases only showed obstructive atelectasis, 12 cases were vaguely lamellar shadow, 3 cases were multiple nodes shadow of bilateral lungs. Conclusions The two examines of fiber-bronchoscopy and imaging have their good quality. The diagnostic level of lung carcinoma are raised by combining with two methods.
出处
《齐齐哈尔医学院学报》
2004年第3期250-251,共2页
Journal of Qiqihar Medical University
