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无气肺内支气管液相对中心型肺肿瘤的诊断价值

Ultrasound evaluation of the bronchial fluid phase of the lung in patients with central lung cancer

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【作者】 陈敏华严昆朱强林晶王彬

【Author】 Min-Hua Chen.et al.(Department of ultrasonogtaphy,Beijing Medical Univergity College of Oncology and Beijing Institute for Cancer Research)

【机构】 北京医科大学临床肿瘤学院影像诊断研究室

【摘要】 超声观察35例中心型肺癌(A组)及26例其他原因(B组)所致无气肺内结构。发现支气管扩张、充满液体的"液相"在两组有明显的差异(P<0.01)。A组的液相显示率为77%(27/35例).呈显著扩张;B组的显示率为15%(4/26).呈轻度扩张;支气管"液相"对中心型肺癌的诊断准确率可达80%(49/61例).为不可忽视的重要指征。本文19例经彩超及脉冲多普勒检查.其中14例确认无气肺内扩张的管道为肺动脉.该方法是判断管道性质简易而有效的手段。

【Abstract】 Abstract patients with air-space consolidations or atelectases of the lung,which were caused by central lung cancers(CLC,n=35)and other diseases(OD,n=26),were studied with ultrasound.In the abnormal area of the lung,the bronchial fluid phase which presented with a dilated tube filled with some fluid was found between CLC and OD(77%vs 15%,P<0.01),with an accuracy being 80%(49/61).In 14 of the 19 cases performed with duplex ultrasound and color doppler flow imaging,tubular structures imaged were proved to be pulmonary arteries or their branches.Conseguently,our Study shows that the bronchial fluid phase on a monographic image may predict the existence of central carcinoma of the lung and the doppler assessment is a simple and practical method of the distinction between the bronchus and the artery.

【关键词】 中心型肺癌支气管液相超声诊断
  • 【文献出处】 临床医学影像杂志 ,Journal of China Medical Imaging , 编辑部邮箱 ,1994年04期
  • 【分类号】R734.2
  • 【被引频次】16
  • 【下载频次】39
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