临床和实验医学杂志
臨床和實驗醫學雜誌
림상화실험의학잡지
Journal of Clinical and Experimental Medicine
2015年
19期
1587-1589
,共3页
小叶性肺癌%肺结核%移动%DR%支气管镜
小葉性肺癌%肺結覈%移動%DR%支氣管鏡
소협성폐암%폐결핵%이동%DR%지기관경
Lobular lung cancer%Tuberculosis%Mobile DR%Bronchoscopy
目的：分析移动数字 X 射线机（DR）联合支气管镜检查对小叶性肺癌与肺结核诊断的应用。方法回顾性分析2013年1月至2015年1月就诊的180例小叶性肺癌与肺结核患者，按照检查方法不同分为移动 DR 联合支气管镜检查组和常规组。筛选符合肺外周小结节病变患者，通过常规气管镜检查及盲检与移动 DR 下支气管镜检查活检对比，比较两种方式获取合格组织标本率和确诊肺肿瘤率。结果移动 DR 联合支气管镜检查组检查小叶性肺癌的有效率（81.11%）远高于常规组（37.77%），检查肺结核的有效率（98.88%）远高于常规组（43.33%），差异均有统计学意义（ P ﹤0.05）。小细胞肺癌组的 WBC（4.73±0.52）×109/ L 明显低于肺结核组（5.82±0.31）×109/ L，差异具有统计学意义（ P ﹤0.05）。移动 DR 联合支气管镜检查组的诊断准确率（74.44%）明显高于常规组的诊断准确率（51.11%），差异具有统计学意义（ P ﹤0.05）。结论移动 DR 联合支气管镜检查对小叶性肺癌与肺结核的诊断具有重大意义，为诊断肺外周小结节性质通过一种行之有效的方法，使部分早期肺肿瘤患者得到早期诊断和早期治疗，最大程度上保障了患者的治疗效果。
目的：分析移動數字 X 射線機（DR）聯閤支氣管鏡檢查對小葉性肺癌與肺結覈診斷的應用。方法迴顧性分析2013年1月至2015年1月就診的180例小葉性肺癌與肺結覈患者，按照檢查方法不同分為移動 DR 聯閤支氣管鏡檢查組和常規組。篩選符閤肺外週小結節病變患者，通過常規氣管鏡檢查及盲檢與移動 DR 下支氣管鏡檢查活檢對比，比較兩種方式穫取閤格組織標本率和確診肺腫瘤率。結果移動 DR 聯閤支氣管鏡檢查組檢查小葉性肺癌的有效率（81.11%）遠高于常規組（37.77%），檢查肺結覈的有效率（98.88%）遠高于常規組（43.33%），差異均有統計學意義（ P ﹤0.05）。小細胞肺癌組的 WBC（4.73±0.52）×109/ L 明顯低于肺結覈組（5.82±0.31）×109/ L，差異具有統計學意義（ P ﹤0.05）。移動 DR 聯閤支氣管鏡檢查組的診斷準確率（74.44%）明顯高于常規組的診斷準確率（51.11%），差異具有統計學意義（ P ﹤0.05）。結論移動 DR 聯閤支氣管鏡檢查對小葉性肺癌與肺結覈的診斷具有重大意義，為診斷肺外週小結節性質通過一種行之有效的方法，使部分早期肺腫瘤患者得到早期診斷和早期治療，最大程度上保障瞭患者的治療效果。
목적：분석이동수자 X 사선궤（DR）연합지기관경검사대소협성폐암여폐결핵진단적응용。방법회고성분석2013년1월지2015년1월취진적180례소협성폐암여폐결핵환자，안조검사방법불동분위이동 DR 연합지기관경검사조화상규조。사선부합폐외주소결절병변환자，통과상규기관경검사급맹검여이동 DR 하지기관경검사활검대비，비교량충방식획취합격조직표본솔화학진폐종류솔。결과이동 DR 연합지기관경검사조검사소협성폐암적유효솔（81.11%）원고우상규조（37.77%），검사폐결핵적유효솔（98.88%）원고우상규조（43.33%），차이균유통계학의의（ P ﹤0.05）。소세포폐암조적 WBC（4.73±0.52）×109/ L 명현저우폐결핵조（5.82±0.31）×109/ L，차이구유통계학의의（ P ﹤0.05）。이동 DR 연합지기관경검사조적진단준학솔（74.44%）명현고우상규조적진단준학솔（51.11%），차이구유통계학의의（ P ﹤0.05）。결론이동 DR 연합지기관경검사대소협성폐암여폐결핵적진단구유중대의의，위진단폐외주소결절성질통과일충행지유효적방법，사부분조기폐종류환자득도조기진단화조기치료，최대정도상보장료환자적치료효과。
Objective To analyze the diagnostic significance of applications of mobile DR combined with bronchoscopy in differential di-agnosis of lobular lung cancer and tuberculosis. Methods The clinical data of 180 cases of lobular lung cancer and tuberculosis treated with re-spiratory drugs or oncological treatment during January 2013 to January 2015 in this hospital were retrospectively analyzed,and they were divided into mobile DR combined with bronchoscopy group and conventional group according to different examination methods. Patients with small periph-eral lung nodules were examined by conventional bronchoscopy and biopsy under blind or mobile DR examination,In comparison with these two methods in obtaining tissue samples passing rate,and the rate of diagnosis of lung cancer . Results In DR joint bronchoscopy group,the efficien-cy in check of lobular lung cancer was 81. 11% ,it was much higher than that of conventional group(37. 77% ),and their difference was statisti-cally significant( P ﹤ 0. 05). In DR joint mobile DR group,the rate of tuberculosis diagnosed by bronchoscopic examination was 98. 88% ,it was much higher than that of conventional group(43. 33% ),and the difference was statistically significant( P ﹤ 0. 05). WBC count in small cell lung cancer group(4. 73 ± 0. 52)× 109 / L was significantly lower than that of TB group(5. 82 ± 0. 31 × 109 / L),and the difference was statisti-cally significant( P ﹤ 0. 05). But it was not significantly lower in MPV,and the difference was not statistically significant( P ﹥ 0. 05). The di-agnostic accuracy of mobile DR combined with bronchoscopy group(74. 44% )was significantly higher than the diagnostic accuracy(51. 11% )of the conventional group,and the difference was statistically significant( P ﹤ 0. 05). Conclusion The significance of application of mobile DR combined with bronchoscopy in differential diagnosis of lung lobular cancer and tuberculosis is significant,and its diagnosis for peripheral lung nod-ules is a very effective way to diagnose lung cancer with early diagnosis and treatment,thus it can improve the outcome of these patients.
