移动数字X射线机(DR)联合支气管镜对小叶性肺癌与肺结核的诊断价值

Diagnosis Value of Mobile Digital Radiography Combined with Bronchoscope for Lobular Lung Cancer and Tuberculosis

目的:探讨移动数字X射线机(DR)联合支气管镜检查小叶性肺癌与肺结核的诊断价值。材料与方法:将2012年12月-2015年12月本院收治的45例小叶性肺癌与70肺结核患者资料分为两组,对照组(51例)行常规支气管镜检查和盲检,研究组在此基础上,行移动数字X射线机(DR)联合支气管镜检查,对比两组小叶性肺癌与肺结核检查率,并对比小叶性肺癌与肺结核血液指标(WBC、PDW、MPV、MONO)水平。结果:研究组小叶性肺癌检出率81.25%,肺结核检出率95.31%均高于对照组37.25%、41.18%(P<0.01),另外,小叶性肺癌WBC、MPV水平显著低于肺结核患者,并且PDW、MONO水平高于肺结核患者(P<0.05)。结论:移动数字X射线机(DR)联合支气管镜对小叶性肺癌与肺结核具有重要诊断应用价值。

Purpose： To explore the diagnosis value of mobile digital radiography（ DR） combined with bronchoscope for lobular lung cancer and tuberculosis. Materials and Methods： The clinical data of 45 patients with lobular lung cancer and 70 with tuberculosis who had received treatment in our hospital between December 2012 and December 2015 were divided into two groups： the control group（ n = 51） was given conventional bronchoscopy and blind examination; the observation group treated with mobile digital radiography combined with bronchoscope for examination. The detection rate for lobular lung cancer and tuberculosis and the levels of blood indicators（ WBC,PDW,MPV and MONO） in the two groups were compared. Results： The detection rates of lobular lung cancer and tuberculosis in the observation group was 81. 25% and 95. 31% respectively,both higher than those in the control group,which were 37. 25% and 41. 18%（ P〈0. 01）. In addition,the levels of WBC and MPV of patients with lobular lung cancer were significantly lower than those of patients with tuberculosis,and the PDW and MONO higher than those with tuberculosis（ P〈0. 05）. Conclusion： Mobile digital radiography combined with bronchoscope is with significant diagnostic value for lobular lung cancer and tuberculosis.