数字化断层结合纤支镜检并肺穿刺活检诊断早期肺癌

A Diagnosis of Early Stage of Lung Cancer By Means of Digital Image and Fibre Branchoscopy for Pneumocentesis Biopsy

目的:探讨对肺部疾病特别是对早期肺癌能准确、快速诊断的检查方法。材料与方法:对30疑肺部肿瘤等疾病患者,施行纤支镜检、刷检,并在电视透视下经纤支镜进行肺穿刺活检。再应用数字减影(DSA)技术,用76%复方泛影葡胺经纤支镜进行选择性支气管造影,造影后立即行数化支气管体层摄影。结果:检出中央型肺癌16例,周围型肺癌6例。细支气管肺泡癌2例,支气管内膜结核并肺不张3例,炎性假瘤2例,假阴性1例,均得到手术病理证实。结论:该项综合性技术能准确、快速诊断多种肺部疾病,特别是早期肺癌。

Purpose： To investigate the methods of fast and accurate diagnosing early stage of lung cancer. Materials and Methods： Let 30 cases of doubtful lung cancer have the examinations of fibre bronchography, brush examination, pneumocentesis biopsy, a bronchotomogram after photography by 76% compound cardiografin through a fibre bronchoscopy by using digital subtractor （DSA）. Results： 16 cases of central lung cancer, 6 cases of peripheral lung cancer, 2 cases of bronchiole pulmonary alveoli cancer, 3 cases of endobronchialtuberculosis and atelectasis, 2 cases of inflammatory pseudotumor and l case of pseudonegadve were diagnosed and proved by surgery and pathology. Conclusion： Tiffs composite techruique is helpful in diagnosing various lung diseases fast and accurately, especially in early stage of lung cancer.