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目的:比较X线检查与纤维支气管镜检查对胸部阴影的诊断效果。材料与方法:132例胸部阴影患者用两种方法检查对比分析。结果:X线检查肺肿瘤多见团块状阴影或合并肺不张影像;炎症、结核多见斑片状阴影或合并肺不张影像。纤支镜确诊125例,确诊率94.7％,其中肺肿瘤的确诊率为94.9％,肺结核为92％,炎症为100％。胸部X线检查与纤支镜检查符合率为80.8％。结论:胸部X线检查可为纤支镜检提供重要的影像资料,但对病变性质、类型等的确定多有不足。纤支镜确诊率高,能对病变的性质、类型、病因等提供可靠的依据。较好地弥补了胸部X线检查的不足。
OBJECTIVE: To compare the diagnosis of chest shadow by X-ray and fiberoptic bronchoscopy. Materials and Methods: 132 cases of chest shadow in patients with two methods to check the comparative analysis. Results: X-ray examination of lung tumor more common mass shadow or atelectasis amalgam; inflammation, tuberculosis more patchy shadow or pulmonary atelectasis image. Fiber bronchoscopy confirmed 125 cases, the diagnosis rate of 94.7%, of which the diagnosis of lung cancer was 94.9%, tuberculosis was 92%, inflammation was 100%. Chest X-ray examination and bronchoscopy in line with the rate of 80.8%. Conclusion: Chest X-ray examination can provide important imaging information for the bronchoscopy, but the nature of the lesion, the type of determination of more than enough. Fiber bronchoscopy diagnosis rate, the nature of the disease, type, cause provide a reliable basis. Better make up for the lack of chest X-ray examination.