【摘要】 目的探讨电子支气管镜检查对肺部阴影性病变的诊断价值。方法使用X线胸部摄片、肺CT等方法检出肺部阴影患者427例,经电子支气管镜观察联合多种取材方法活检、刷检、灌洗液等送病理检查或培养,并以病理结果及诊断性治疗、随访为最终临床诊断,以其为金标准进行比较。结果支气管镜检查与金标准检查对肺结核、肺癌、肺部炎症诊断的符合率分别为79.6%、74.5%、82.4%。综合性诊断电子支气管镜下所视各种改变发生率在4种疾病间差异有统计学意义(P<0.05)。结论电子支气管镜检查联合运用多种取材方法是明确肺部阴影性质的一种简便且准确率较高的方法。更多还原

【Abstract】 Objective To study the diagnostic value of electronic bronchofiberoscopy for diseases with lung shadow.Methods By using X-ray chest radiography and lung CT 427 patients with lung shadow were screened.The electronic bronchofiberoscopy combined a variety of methods such as pathological examinations or training of biopsy material,brush biopsy and fluid lavage were taken.Then the results of pathological examination,diagnostic treatments and follow-up were taken as the final clinical diagnosis,and this was taken as the golden criterion.Results The consistent rates of bronchoscopic examination and the golden criterion in the diagnoses of pulmonary tuberculosis,cancer and inflammation were respectively 79.6%,74.5%,and 82.4%.The differences in four kinds of diseases,by compound diagnosis of various change prevalence found under the electronic bronchofiberoscopy,showed statistic significance(P<0.05).Conclusion Electronic bronchoscopy combined with a variety of sampling methods is simple,accurate and efficacious in diagnoses of lung shadow diseases.更多还原