胸部CT结合纤维支气管镜检查在肺部病变诊断中应用价值.docVIP

胸部CT结合纤维支气管镜检查在肺部病变诊断中应用价值 　　[摘要] 目的 分析胸部CT结合纤维支气管镜检查在肺部病变诊断中的应用价值。 方法 方便选取该院100例肺部病变患者，收取时间在2014年10月―2016年10月，并将肺部病变患者随机分为两组各组50例，对照组实施肺部X线诊断，观察组患者实施胸部CT结合纤维支气管镜检查，将两组肺部病变患者检查后的特异性、敏感性、检出率进行对比。 结果 观察组诊断后、气管狭窄患者10例、结核患者10例、脂肪瘤患者16例、炎症患者9例、检出率为90.00%，其与对照组相比差异有统计学意义（P0.05），观察组特异性84.00%、敏感性86.00%优于对照组患者（P0.05）。 结论 胸部CT结合纤维支气管镜检查在肺部病变诊断中具有显著的应用价值，能提高肺部病变的检出率，增加特异性和敏感性，值得应用。 　　[关键词] 胸部CT；纤维支气管镜；肺部病变；应用价值 　　[中图分类号] R816 [文献标识码] A [文章编号] 1674-0742（2017）09（b）-0185-03 　　[Abstract] Objective This paper tries to analyze the application value of chest CT combined with fiberoptic bronchoscopy in the diagnosis of pulmonary lesions. Methods 100 patients with pulmonary lesions were convenient collected from October 2014 to October 2016. Patients with pulmonary lesions were randomly divided into two groups. The control group was treated with pulmonary X-ray， The patients in the observation group were treated with chest CT and bronchoscopy 50 case in each group. The specificity， sensitivity and detection rate of the two groups were compared. Results In the observation group， there were 10 cases of tracheal stenosis， 10 cases of tuberculosis， 16 cases of lipoma and 9 cases of inflammatory. The detection rate was 90.00%， which was significantly different from the control group （P0.05）， the sensitivity was 84.00% in the observation group， better than that of 86.00% in the control group（P0.05）. Conclusion Chest CT combined with fiberoptic bronchoscopy in the diagnosis of lung lesions has a significant application value， which can improve the detection rate of lung lesions， increase specificity and sensitivity， so it is worth application. 　　[Key words] Chest CT； Fiberoptic bronchoscopy； Lung lesions； Application value 　　肺部?槿死嗳粘：粑?的重要器官，一旦人体肺部发生病变易对患者正常工作和日常生活造成影响，对于该类患者应早期进行治疗和诊断，为保证肺部病变患者生命健康以及生活质量的关键。在临床中，肺部病变的诊断方式主要包括实验室检查、影像学检查、支气管镜检查等，上述检查方式各具优势[1-2]。因此，2014年10月―2016年10月间该院方便选取100例肺部病变患者为研究对象，分为两组，（每组50例），探讨不同诊断方式的效果，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　方便选取该院100例肺部病变患者，并将肺部病变患者随