CAJ | 학술논문

目的分析和研究胸部X线、螺旋 CT及纤维支气管镜在诊断中的价值和意义. 方法随机抽取于 2013年1月-2015年1月间在该院就诊的140例肺癌患者作为研究对象,并根据检查方法的不同分为X线、CT、支气管镜,所有患者均进行以上检查,对比和分析各种方法在诊断中的准确性. 结果 X线检查的准确率为171/235(72.77%),CT检查的准确率为211/235(89.79%),纤维支气管镜的准确率为221/235(94.04%),CT高于X线,差异有统计学意义(χ2=5.37,P<0.05);纤维支气管镜高于X线,差异有统计学意义(χ2=6.81,P<0.05);纤维支气管镜虽高于CT,差异有统计学意义(χ2=0.67,P<0.05).60%以上的肺癌患者通过X线即可确诊,CT在周围型肺癌诊断中准确率更高, 而纤维支气管镜则在中心型肺癌中的诊断准确性更高. 结论临床上在对肺癌初诊筛查中,可将胸部X线放在第一位,CT和纤维支气管镜作为进一步检查,这对提高临床对肺癌的确诊率具有重要意义.
목적 분석화연구흉부X선、 라선 CT급섬유지기관경재진단중적개치화의의. 방법 수궤추취우 2013년1월-2015년1월간재해원취진적140례폐암환자작위연구대상,병근거검사방법적불동분위X선、CT、지기관경,소유환자균진행이상검사,대비화분석각충방법재진단중적준학성. 결과 X선검사적준학솔위171/235(72.77%),CT검사적준학솔위211/235(89.79%),섬유지기관경적준학솔위221/235(94.04%),CT고우X선,차이유통계학의의(χ2=5.37,P<0.05);섬유지기관경고우X선,차이유통계학의의(χ2=6.81,P<0.05);섬유지기관경수고우CT,차이유통계학의의(χ2=0.67,P<0.05).60%이상적폐암환자통과X선즉가학진,CT재주위형폐암진단중준학솔경고, 이섬유지기관경칙재중심형폐암중적진단준학성경고. 결론 림상상재대폐암초진사사중,가장흉부X선방재제일위,CT화섬유지기관경작위진일보검사,저대제고림상대폐암적학진솔구유중요의의.
Objective To analyze and discuss the meaning and value of chest X-ray, CT and fibrobronchoscope. Methods Select-ed 140 cases of patients with lung cancer in our hospital from January 2013 to January 2015 as a study object, according to the different of imaging detection scheme divided into CT group, X-gray group and fibrobronchoscope group, and analysis of the effect of the three detection methods in the treatment of patients. Results The accuracy rate of X-ray was 171/235 (72.77%), accuracy of CT examination for 211/235 (89.79%), the accuracy rate of fiberoptic bronchoscopy for 221/235 (94.04%) was higher than that of X-ray, CT, there was significant difference(χ2=5.37, P<0.05); fiberoptic bronchoscopy was higher than that of X-ray, there were statistically significant differences (χ2=6.81,P<0.05);fiberoptic bronchoscopy the mirror is higher than that of CT, but the difference was not statistically significant(χ2=0.67, P<0.05).Over 60% lung cancer patients can be clinically diagnosed only by chest X-ray, the accurate rate of peripheral lung cancer can be diagnosed by CT while central lung cancer can be diagnosed by fibrobroncho-scope. Conclusion It was showed that Chest X-ray should be used firstly in the diagnosis of lung cancer, and CT or fibrobroncho-scope can greatly improve the diagnostic accuracy of lung cancer, which is worthy of promotion and application.