中央型肺癌支气管镜检查和CT诊断与病理的对比分析

目的探讨纤维支气管镜和胸部CT在诊断中央型肺癌侵犯气管支气管中的价值。方法对38例非小细胞中央型肺癌术前行纤维支气管镜和胸部CT检查，判定肿瘤对气管支气管侵犯情况并与术后病理结果进行比较。结果纤维支气管镜、胸部CT和二者联合检查的阳性率分别为90．6％、56．4％和96．2％。结论在中央型肺癌中，纤维支气管镜检查是了解气管支气管是否被肿瘤侵犯的主要手段，胸部CT检查是一种很好的补充方法，纤维支气管镜检查和胸部CT检查结合可以有效地提高气管支气管是否被肿瘤侵犯的诊断。

Comparison of bronchofibroscopy, Computer Tomography and pathologic results in patients with central lung cancer

Objective] To evaluate the clinical value of bronchofibroscopy and Computer Tomography in the diagnosis of trachea/bronchia invasion from central lung cancer. Methods] Bronchofibroscopy and Computer Tomography were performed in 38 patients with central non-small cell lung cancer preoperatively. Those data were compared to the postoperative pathologic results. Results] The positive rate of bronchofibroscopy and Computer Tomography was 90.6% and 62.3% respectively. The combined positive rate of two schedules was 96.2%. Conclusion] Bronchofibroscopy is an effective means to estimate whether the trachea or bronchia is invaded by central lung cancer while Computer Tomography is a beneficial complementarity for the diagnosis. Combination of the two procedures can improve the efficacy of diagnosis.