CAJ | 학술논문

目的：研究纤维支气管镜联合固有荧光光谱检测在肺癌诊断上的意义。方法：将50例肺部阴影患者经纤维支气管镜的固有荧光光谱检测(IFS-1固有荧光早癌诊断仪)的结果与白光纤支镜诊断比较，及固有荧光光谱联合纤支镜诊断的结果与单纯白光纤支镜诊断比较。结果：固有荧光光谱测试肺癌的准确率88%，与白光纤支镜检查的准确率相仿(P＞0.05)，固有荧光光谱检测的灵敏度较纤支镜检查高，灵敏度为93.2%，但两者无显著差异(P＞0.05)，固有荧光光谱检测联合纤支镜诊断灵敏度提高到98.8%，比白光纤支镜诊断高，二者有显著差异(P＜0.05)，特别是对于粘膜下浸润的肺癌能明显提高诊断率(P＜0.05)。结论：经纤维支气管镜固有荧光光谱检测能辅助支气管镜检，能提高对中央型肺癌，尤其是粘膜下浸润的肺癌的诊断水平。
목적：연구섬유지기관경연합고유형광광보검측재폐암진단상적의의。방법：장50례폐부음영환자경섬유지기관경적고유형광광보검측(IFS-1고유형광조암진단의)적결과여백광섬지경진단비교，급고유형광광보연합섬지경진단적결과여단순백광섬지경진단비교。결과：고유형광광보측시폐암적준학솔88%，여백광섬지경검사적준학솔상방(P＞0.05)，고유형광광보검측적령민도교섬지경검사고，령민도위93.2%，단량자무현저차이(P＞0.05)，고유형광광보검측연합섬지경진단령민도제고도98.8%，비백광섬지경진단고，이자유현저차이(P＜0.05)，특별시대우점막하침윤적폐암능명현제고진단솔(P＜0.05)。결론：경섬유지기관경고유형광광보검측능보조지기관경검，능제고대중앙형폐암，우기시점막하침윤적폐암적진단수평。
Purpose：To study the diagnosis in lung cancer with the laser intrinsic fluorscence light spectrum endoscopes (LIFSE) and to find the difference between that with the white light bronchoscope (WLB). Methods：The study in 50 patients who had the lung disease was made using White light bronchoscope (WLB) and the laser intrinsic fluorescence light spectrum endoscope (LIFSE) from the Sep.1999 to Jan.2000. Results：44 patients were diagnosed as lung cancer with the intrinsic fluorescence endoscopes, the accuracy of LIFSE was 88% and the sensibility was 93.2%. There was no significant difference between the diagnosis, of lung cancer with FB with LIFSE (P＞0.05).If the diagnosis of lung cancer through the intrinsic fluorescence test combined the bronchoscope, the sensibility by the parallel test could be raised to 98.8%, the sensibility of the LIFSE combine with WLB was better than that of WLB alone (P＜0.05), especially in the diagnosis of lung cancer with mucosa memberance infultration.Conclusions：The LIFSE is a good methods to assist WLB improving lung cancer diagnosis level.