摘要
目的明确纤维支气管镜检查在肺癌诊断中的价值及影响。方法采用回顾性方法,收集2019年5月到2021年5月行纤维支气管镜检查明确诊断的肺癌患者资料,与CT引导下经皮肺穿刺活检的准确度比较。结果纤维支气管镜组共纳入患者81例,恶性病变共70例,良性病变共11例,灵敏度98.6%,特异度100%,漏诊率1.4%;CT引导下经皮肺穿刺组病人53例,恶性病变共45例,良性病变共8例,灵敏度95.7%,特异度100%,漏诊率4.3%。两组结果灵敏度、漏诊率之间的差异有统计学意义(P<0.05)。结论纤维支气管镜检查在拟诊肺癌患者中有较高的灵敏度、特异度和极低的漏诊率。
Objective To clarify the value and influence of fiberoptic bronchoscopy in the diagnosis of lung cancer.Methods Retrospective methods were used to collect the data of lung cancer patients who underwent fiberoptic bronchoscopy from May 2019 to May 2021,and to compare the accuracy of CT guided percutaneous lung biopsy.Results In the fiberoptic bronchoscopy group,81 patients were included,including 70 malignant lesions and 11 benign lesions.The sensitivity was 98.6%,the specificity was 100%,and the missed diagnosis rate was 1.4%;In the CT guided percutaneous lung puncture group,there were 53 patients,45 malignant lesions and 8 benign lesions.The sensitivity was 95.7%,the specificity was 100%,and the missed diagnosis rate was 4.3%.There was significant difference in sensitivity and missed diagnosis rate between the two groups(P<0.05).Conclusion Fiberoptic bronchoscopy has high sensitivity,specificity and low missed diagnosis rate in patients with lung cancer.
作者
邓宇
DENG Yu(Department of Respiratory and Critical Illness,Affiliated Hospital of Jilin Medical University,Jilin City,Jilin Province,132013,China)
出处
《吉林医药学院学报》
2023年第1期14-16,共3页
Journal of Jilin Medical University
关键词
纤维支气管镜检查
CT引导下经皮肺穿刺
肺癌诊断
fiberoptic bronchoscopy
CT guided percutaneous lung puncture
diagnosis of lung cancer
