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在支气管肺癌的诊断中,CT和纤维支气管镜是两种常用的检查方法,为了更合理有效的联合应用这两种检查方法。本文对经过病理证实的20例中央型肺癌病人,就CT及纤维支气管镜所见进行对照分析,以提高本病诊断的准确性。 资料与方法 患者男16例,女4例;40岁以下2例,40～49岁6例,60～69岁4例,70～79岁3例,50～59岁5例,最小年龄为37岁。20例患者均有咳嗽、咳痰,咳嗽有时呈呛咳,痰少量。15例患者有痰中带血,血为鲜红色。 采用日本Toshiba 300S全身扫描机扫描,层厚3～10mm,层距10mm,均做了平扫和增强扫描。同时作纤维支气管镜检查,病理活检证实:鳞癌11例,未分化癌5例,腺癌4例。部分手术治疗。
In the diagnosis of bronchial lung cancer, CT and fiberoptic bronchoscopy are the two commonly used examination methods, in order to more rational and effective combination of these two examination methods. In this paper, 20 cases of pathologically confirmed lung cancer patients were compared with CT and fiberoptic bronchoscopy to improve the accuracy of the diagnosis. Data and Methods 16 male patients and 4 female patients; 2 patients below 40 years old, 6 patients aged 40-49 years, 4 patients aged 60-69 years, 3 patients aged 70-79 years, 5 patients aged 50-59 years, minimum age 37 year old. All 20 patients had cough and sputum, cough was sometimes cough, and sputum was small. Fifteen patients had bloody sputum and their blood was bright red. Using the Japanese Toshiba 300S whole body scanner, the thickness was 3 to 10mm, and the layer distance was 10mm. Plain and enhanced scans were performed. At the same time as fiberoptic bronchoscopy, pathological biopsy confirmed: 11 cases of squamous cell carcinoma, 5 cases of undifferentiated carcinoma, 4 cases of adenocarcinoma. Some surgical treatment.