电子支气管镜对肺癌的诊断价值
The Diagnosis Value of Electronic Bronchoscope to Lung Cancer
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摘要: 目的评价电子支气管镜在肺癌诊断中的价值.方法选取昆明医学院第一附属医院2008年1月至2010年12月302例经电子支气管镜检查且病理学明确诊断为肺癌患者的数据,进行统计学分析,根据镜下肉眼所见病变性质分组:A-新生物组;B-浸润组;C-外压组;D-炎症组;E-未见异常组.结果诊断肺癌170例,诊断率为56.3%.新生物组诊断肺癌108例,诊断率96.4%,浸润组诊断肺癌27例,诊断率81.8%,外压组诊断肺癌14例,诊断率18.7%,炎症组诊断肺癌17例,诊断率53.1%,未见异常组诊断肺癌4例,诊断率8%,各组诊断率比较有统计学意义(P<0.05).A组经电子支气管镜确诊患者中鳞癌占64.8%,高于腺癌及小细胞肺癌(P<0.05).D组经电子支气管镜确诊者中,腺癌占70.6%,高于鳞癌及小细胞肺癌(P<0.05).结论电子支气管镜检查对肺癌的确诊有重要价值,镜下所见病变与肺癌的诊断率相关,且对肺癌的病理类型有一定提示作用.Abstract: Objective To evaluate the value of electronic bronchoscope in diagnosis of lung cancer.Methods We selected and statistically analyzed the data of 302 cases of lung cancer checked by electronic bronchoscope and diagnosed with pathology in the First Affiliated Hospital of Kunming Medical College during 2008 to 2010.According to the gross appearance and microscopic lesions,302 cases were divided into 5 groups: A-neoplasm group;B-invasive group;C-external pressure group;D-inflammation group;E-no abnormal group....
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