中华结核和呼吸杂志
中華結覈和呼吸雜誌
중화결핵화호흡잡지
Chinese Journal of Tuberculosis and Respiratory Diseases
2014年
3期
184-187
,共4页
陈众博%虞亦鸣%孙士芳%马红映%张巧丽%吕丹%王碧炯%牛黎明%曹超
陳衆博%虞亦鳴%孫士芳%馬紅映%張巧麗%呂丹%王碧炯%牛黎明%曹超
진음박%우역명%손사방%마홍영%장교려%려단%왕벽형%우려명%조초
支气管镜检查%肺肿瘤
支氣管鏡檢查%肺腫瘤
지기관경검사%폐종류
Bronchoscopy%Lung neoplasms
目的 评估窄带成像技术(NBI)对中央型肺癌的诊断价值.方法 对153例高度怀疑中央型肺癌的病例先进行白光支气管镜(WLB)检查,再使用NBI、自荧光支气管镜(AFB)检查,在每例镜下观察到的异常黏膜部位取3块或以上的组织送检.比较NBI、AFB、NBI联合AFB三种方法的敏感度和特异度.结果 153例接受支气管镜检查的患者中,男106例,女47例.NBI镜下阳性91例,阴性62例,NBI的敏感度和特异度分别为63.5%(87/137)和75.0% (12/16);AFB镜下阳性140例,阴性13例,AFB的敏感度和特异度分别为94.2% (129/137)和31.3%(5/16);NBI联合AFB镜下阳性133例,阴性20例,其敏感度和特异度分别为95.6% (131/137)和87.5% (14/16).NBI联合AFB与单用AFB的特异度比较差异有统计学意义(P<0.01),而敏感度比较差异无统计学意义(P>0.05).NBI联合AFB与单用NBI的敏感度比较差异有统计学意义(P<0.01),而两者特异度均处于临界水平.结论 NBI联合AFB检查可弥补AFB特异度低的不足.
目的 評估窄帶成像技術(NBI)對中央型肺癌的診斷價值.方法 對153例高度懷疑中央型肺癌的病例先進行白光支氣管鏡(WLB)檢查,再使用NBI、自熒光支氣管鏡(AFB)檢查,在每例鏡下觀察到的異常黏膜部位取3塊或以上的組織送檢.比較NBI、AFB、NBI聯閤AFB三種方法的敏感度和特異度.結果 153例接受支氣管鏡檢查的患者中,男106例,女47例.NBI鏡下暘性91例,陰性62例,NBI的敏感度和特異度分彆為63.5%(87/137)和75.0% (12/16);AFB鏡下暘性140例,陰性13例,AFB的敏感度和特異度分彆為94.2% (129/137)和31.3%(5/16);NBI聯閤AFB鏡下暘性133例,陰性20例,其敏感度和特異度分彆為95.6% (131/137)和87.5% (14/16).NBI聯閤AFB與單用AFB的特異度比較差異有統計學意義(P<0.01),而敏感度比較差異無統計學意義(P>0.05).NBI聯閤AFB與單用NBI的敏感度比較差異有統計學意義(P<0.01),而兩者特異度均處于臨界水平.結論 NBI聯閤AFB檢查可瀰補AFB特異度低的不足.
목적 평고착대성상기술(NBI)대중앙형폐암적진단개치.방법 대153례고도부의중앙형폐암적병례선진행백광지기관경(WLB)검사,재사용NBI、자형광지기관경(AFB)검사,재매례경하관찰도적이상점막부위취3괴혹이상적조직송검.비교NBI、AFB、NBI연합AFB삼충방법적민감도화특이도.결과 153례접수지기관경검사적환자중,남106례,녀47례.NBI경하양성91례,음성62례,NBI적민감도화특이도분별위63.5%(87/137)화75.0% (12/16);AFB경하양성140례,음성13례,AFB적민감도화특이도분별위94.2% (129/137)화31.3%(5/16);NBI연합AFB경하양성133례,음성20례,기민감도화특이도분별위95.6% (131/137)화87.5% (14/16).NBI연합AFB여단용AFB적특이도비교차이유통계학의의(P<0.01),이민감도비교차이무통계학의의(P>0.05).NBI연합AFB여단용NBI적민감도비교차이유통계학의의(P<0.01),이량자특이도균처우림계수평.결론 NBI연합AFB검사가미보AFB특이도저적불족.
Objective To assess the diagnostic value of narrow-band imaging (NBI) in the diagnosis of central lung cancer.Methods Patients (n =153) suspected of having lung cancer underwent white light bronchoscopy(WLB),NBI and autofluorescence bronchoscopy(AFB) in turn.At least 3 biopsies in each case were taken from sites visualized as lesions.The sensitivity and specificity of NBI,AFB and combination of NBI and AFB were compared.Results There were 106 male (69.3%) and 47 female patients (30.7%).By NBI,91 and 62 cases were positive and negative respectively.The sensitivity and specificity of NBI were 63.5% (87/137) and 75.0% (12/16) respectively.By AFB,140 and 13 cases were positive and negative respectively.The sensitivity and specificity of AFB were 94.2% (129/137) and 87.5% (5/16) respectively.By NBI combined with AFB,133 and 20 cases were positive and negative respectively,the sensitivity and specificity being 95.6% (131/137) and 87.5% (14/16) respectively.The difference of specificity between NBI plus AFB and AFB alone was significant (P < 0.01),but the difference of sensitivity between NBI plus AFB and AFB alone (P > 0.05) was not.The difference of specificity between NBI plus AFB and NBI alone was significant (P <0.01),but the P value of specificity between NBI plus AFB and NBI was 0.03.Conclusion Combination of NBI and AFB could increase the specificity of lung cancer diagnosis compared to AFB alone.