多层螺旋CT多方位重组技术及仿真内镜技术对支气管结核的诊断价值

Diagnostic values of multi-slice spiral CT multi-directional recombination technique and simulated endoscopy for bronchial tuberculosis

目的探讨多层螺旋CT多方位重组技术及仿真内镜技术对支气管结核的诊断价值。方法选取2018年9月至2019年9月本院收治的80例疑似支气管结核患者,所有患者行多层螺旋CT多方位重组技术联合仿真内镜检查以及纤维支气管镜检查,以病理学检查结果为诊断“金标准”,对比多层螺旋CT多方位重组技术联合仿真内镜检查以及纤维支气管镜检查支气管结核的诊断价值。结果经病理学诊断,80例患者中确诊支气管结核68例,其中左支气管结核31例,右支气管结核37例,异物位于气管12例;纤维支气管镜检查诊断准确度、灵敏度、特异度、阳性预测值及阴性预测值分别为58.75%、63.24%、33.33%、84.31%、13.79%;多层螺旋CT多方位重组技术联合仿真内镜检查诊断准确度、灵敏度、特异度、阳性预测值及阴性预测值分别为91.25%、97.06%、58.33%、92.96%、77.78%;多层螺旋CT多方位重组技术联合仿真内镜诊断准确度、灵敏度及阴、阳性预测值均较高,差异均有统计学意义(均P<0.05)。结论多层螺旋CT多方位重组技术及仿真内镜技术用于诊断支气管结核具有较高的临床价值,可显著提高诊断准确度,利于患者早期治疗,值得临床推广使用。

Objective To investigate the diagnostic values of multi-slice spiral CT multi-directional recombination technique and simulated endoscopy for bronchial tuberculosis.Methods Eighty patients with suspected bronchial tuberculosis admitted to our hospital from September,2018 to September,2019 were enrolled.All the patients underwent multi-slice spiral CT multi-directional recombination technique combined with simulated endoscopy and fiberoptic bronchoscopy.The pathological results was used as the gold standard.The diagnostic values of multi-slice spiral CT multi-directional recombination technique combined with simulated endoscopy and fiberoptic bronchoscopy for bronchial tuberculosis were compared.Results According to pathological diagnosis,68 cases of the 80 patients were confirmed with bronchial tuberculosis,including 31 cases of left bronchial tuberculosis,37 cases of right bronchus,and 12 cases of foreign body in trachea.The diagnostic accuracy,sensitivity,specificity,and positive and negative predictive values of fiberoptic bronchoscopy were 58.75%,63.24%,33.33%,84.31%,and 13.79%,respectively;and those of multi-slice spiral CT multi-directional recombination technique combined with simulation endoscopy were 91.25%,97.06%,58.33%,92.96%,and 77.78%,respectively;the diagnostic accuracy,sensitivity,and negative and positive predictive values multislice spiral CT multi-directional recombination technique combined with simulation endoscopy were higher,with statistical differences(all P<0.05).Conclusions Multi-slice spiral CT multi-directional recombination technique and simulated endoscopic technique have high clinical value for diagnosing bronchial tuberculosis,and can significantly improve the diagnostic accuracy and facilitate the patients’early treatment.It is worthy of clinical promotion.