CT仿真内窥镜与纤维支气管镜对肺癌的研究

目的:研究CT仿真支气管镜(CTvitual bronchoscopy)技术在支气管肺癌诊断中的临床应用价值。方法:对58例经病理确诊的病例,回顾性研究CTVB检查与纤维支气管内窥镜(fibrobronchoscope,FBS)的检查结果。结果:CTVB在发现管内型肺癌和管外型肺癌较敏感,对中度以上管腔狭窄敏感。CTVB与FBS所见肺癌诊断符合率为91.5%。CTVB与FBS对比;中央型肺癌中的管内型、管外型符合率较高。结论:CTVB检查为支气管肺癌的诊断提供了一种新的方法。CTVB能清楚地显示中央型支气管肺癌病变、位置、大小及支气管狭窄程度。CTVB对中央型支气管肺癌中的管内型、管外型敏感性较高。CTVB可以作为肺癌术前及术后气管支气管检查的方法选择之一。

The Value of CT Vitual Bronchoscopy in Pulmonary Carcinoma

Objective:To investigate the clinic use of CT vitual endoscopy in pulmonary carcinoma.Methods:58patients were performed both CT vitual bronchoscopy(CTVB)and fiberoptic bronchoscopy(FBS).Two ways were compared on the rates of finding the carcinoma grow in the bronchus.Results:the consistency of findings between CTVB and FBS was up to 91.5%.CTVB was sensitive to be found the cracinoma growing in bronchus.FBS was more sensitive than CTVB in light narrow bronchus.Conclusion:CTVB may provide another way for diagnosis of lung carcinoma.Multi-slice helical CTVB may accurately slow the location,size and degree of bronchus stenosis in central lung cancer.