胸部CT与支气管镜在肺部病变临床诊断中的应用价值比较

Comparison of the Application Value of CT and Fibro-bronchoscopy for Pulmonary Lesions in the Clinical Treatment

目的探讨胸部CT与支气管镜在肺部病变临床诊断中的应用价值比较。方法选取2013年1月-2015年1月在我院诊断治疗的肺部疾病患者98例为研究对象,入院后均进行胸部CT与支气管镜检查,比较两个检查手段在肺部病变诊断方面的影像学差异以及诊断符合率。结果 98例患者经胸部CT诊断结果为肺癌26例,其中转移性肺癌5例,肺结核26例,支气管结核24例,肺部炎症13例,肺结节病3例,肺泡蛋白沉积症1例,尘肺2例,炎性假瘤1例,其他2例。支气管镜检查诊断结果为肺癌24例,肺结核25例,支气管结核29例,肺炎15例,其它5例。结论在临床诊断肺部病变的过程中,胸部CT和支气管镜各有优缺点,支气管镜在肺结核、支气管结核方面诊断符合率更高,但CT能诊断出更多种病变类型。两者在肺部病变检查中,应该合理搭配,在临床工作中应根据病人情况,酌情选择适宜的检查方法。

Objective To investigate the difference and application value of X ray CT scan and Fibro-bronchoscopy in the diagnosis of Pulmonary Lesions. Methods Select 98 cases of Pulmonary Lesions patients in our hospital from January 2013 to January 2015, compare the imaging differences and diagnostic accordance rate in the diagnosis of Pulmonary Lesions. Results Among 96 patients, 26 cases are diagnosed as lung cancer, 5 cases are metastatic lung cancer, 26 cases of tuberculosis, 24 cases of bronchial tuberculosis, 13 cases of pulmonary inflammation, 3 cases of pulmonary sarcoidosis, 1 case of alveolar protein deposition disease, 2 cases of pneumoconiosis, 1 case of inflammatory pseudotumor, and there are other two cases. The results of Bronchoscopy diagnose are 24 cases of lung cancer, 25 cases of pulmonary tuberculosis, 29 cases of bronchial tuberculosis, 15 cases of pneumonia, the there are other 5 cases. Conclusion During the clinical diagnosis of pulmonary lesions, there are advantages and disadvantages of CT scan and bronchoscopy, bronchoscopic diagnosis of tuberculosis, bronchial tuberculosis is of higher accordance rate, however CT scan diagnose more types of lesions. Both methods should be selected reasonably based on the patient＇s condition, and should be combined appropriately.