摘要
目的比较螺旋CT和纤维支气管镜对支气管内膜结核(EBTB)的诊断价值。方法采用美国通用公司GE HiSpeed CT/e扫描机对38例拟诊为EBTB的患者行胸部CT扫描,所有患者均经纤维支气管镜活检或手术病理证实。结果 38例患者中,螺旋CT表现:8例管腔向心性狭窄,22例管腔不规则狭窄,2例管腔内结节,6例支气管完全堵塞;纤维支气管镜检查示:浸润型2例,溃疡型8例,增生型12例,瘢痕狭窄型22例;螺旋CT和纤维支气管镜诊断EBTB的准确率分别为94.7%、97.4%,两者比较差异无统计学意义(P>0.05)。结论螺旋CT作为无创性检查是纤维支气管镜的有益补充,可为纤维支气管镜检查提供准确的导航,已经成为临床随访EBTB的重要检查方法之一。
Objective To compare the diagnostic value of spiral CT and bronchoscopy in endobronchial tuberculosis（EBTB）.Methods Chest CT scan was performed in 38 patients suspected of EBTB by using a General Electric HiSpeed CT/e scanner.All patients were confirmed with bronchoscopic biopsy or surgical pathology.Results Of 38 cases of EBTB,spiral CT revealed concentric lumen stenosis in 8 cases,irregular lumen stenosis in 22 cases,intraluminal nodules in 2 cases,and completely blocked bronchus in 6 cases.Bronchoscopy showed infiltration in 2 cases,ulcers in 8 cases,hyperplasia in 12 cases,and cicatricial stenosis in 22 cases.There were no differences in the accuracy of diagnosis between bronchoscopic examination and spiral CT scan（94.7% vs 97.4%,P0.05）.Conclusion As a noninvasive examination,spiral CT is useful complement to bronchoscopy and provides accurate guidance for bronchoscopy.Spiral CT has become an important method for clinical follow-up inspection of EBTB.
出处
《实用临床医学（江西）》
CAS
2011年第4期88-90,共3页
Practical Clinical Medicine
