纤支镜检查与CT引导下经皮肺穿刺对原发性肺肿瘤的诊断研究.docxVIP

纤支镜检查与CT引导下经皮肺穿刺对原发性肺肿瘤的诊断 研究 作者单位：绵阳市屮心医院呼吸内科，四川绵阳621000 DOI： 10.7504/nk2016010203 屮图分类号：R587.1 文献标识码： A 摘要：目的 探讨纤维支气管镜检查与CT引导下经皮肺穿刺在原发性肺肿 瘤屮的临床诊断价值。方法 纳入我院2013年1月至2015年11月行胸部X片 或者CT检查有原发性肺肿瘤的的患者200例，其屮有120例的患者进一步行纤 维支气管镜检查并同时取活检，另外80例患者在CT引导下行经皮肺穿刺活检。 分别观察两组患者胸部X片或者CT检查以及纤支镜下肺占位的形态及大小；比 较纤维支气管镜检查与CT引导下经皮肺穿刺检查对肺肿瘤确诊的情况。结果 应用纤维支气管镜检查可以清晰直观地对肺部占位进行大体形态学的观察；纤维 支气管镜检查与CT引导下经皮肺穿刺两种检查方法对肺部肿瘤的确诊阳性率分 别是83.46%和87.50%,两者之间比较无统计学差异（P0.05）。纤维支气管镜 检查与CT引导下经皮肺穿刺并发症发病率分别为1.67%和10.0%,两者比较具有 统计学差异（PV0.05）。结论 纤维支气管镜检查与CT引导下经皮肺穿刺两种 检查方法对肺部肿瘤确诊均有重要意义，但是从安全性上看纤维支气管镜检查要 优于CT引导下经皮肺穿刺检查。 关键词：纤维支气管镜CT引导经皮肺穿刺原发性肺肿瘤 The diagnosis research of fiberoptic bronchoscopy and CT- guided percutaneous for primary lung tumors ZHANG Xiao-do ng （Department of Respiratory Disease,Mianyang Central Hospital?Mianyang,Sichuan 621000,Chian) [Abstract] Objective: To evaluate the diagnosis value of fiberoptic bronchoscopy and CT- guided percutaneous for primary lung tumors.Methods200 patients with primary lung tumors received chest X-ray or CT examination in our hospital from January 2013 to November 2015, including 120 patients underwent fiberoptic bronchoscopy and biopsy, in addition 80 patients underwent the CT-guided percutaneous . we observed chest X-ray or CT sean as well as shape and size of lung placeholder under bronchoscopy,comparefiberoptic bronchoscopy to CT- guided percutaneous for diagnosis ofprimary lung tumors. Results Fiberoptic bronchoscopy can observate the gross morphological of lung tumors clearly and intuitively; the diagnosed positive rates of fiberoptic bronchoscopy and CT- guided percutaneous were 83.46% and 87.50%, no significant differenee (Pgt; 0.05) between the two methods, the morbidity of fiberoptic bronchoscopy and CT- guided percutaneous were 1.67% and 10.0%, with significant differenee between the two methods (P lt;0.05). Conclusion Two methods of fiberoptic bronchoscopy andCT-guided percutaneous were very important in the diagnosis of lung tumors, but from a security point of