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1、肺部占位性病灶性质研究［摘要］目的探讨分析肺部占位性病灶的临床诊断方法，明确诊断。方法回顾性分析2011年1月〜2013年1月在我院收治的100例肺部占位性病灶患者的临床病例资料，分析所有患者与诊断相关的临床资料，如患者的痰涂片、支气管镜、经皮肺穿刺活检术、手术探查等，了解肺部占位性病灶的临床诊断方法，从而明确诊断。结果100例肺部占位性病灶患者中，82例患者得到确诊，诊断准确率达82.0%,22例患者经无创检查得到确诊，诊断准确率达22.0%；29例患者经支气管镜检查得到确诊，诊断准确率达29.0%；30
2、例患者在CT引导下经皮肺穿刺活检术得到确诊，诊断准确率达30.0%；18例患者通过手术探查得到确诊，诊断准确率达18.0%0最终18例患者未得到未明确诊断，占18.0%o82例确诊的患者中包括40例肺癌，16例肺结核，14例炎性假瘤，5例平滑肌瘤，5例脂肪瘤、2例纤维瘤。结论临床上诊断病因不明确的肺部占位性病灶，诊断方法由简到难，可依次选择痰涂片、支气管镜、经皮肺穿刺活检术、手术探查等，临床诊断准确率较高。［关键词］肺；占位性病灶；痰涂片；支气管镜；经皮肺穿刺活检术［中图分类号］R816.4［文献标识码］B
3、［文章编号］2095-0616(2013)22-155-02Analysisonnatureoflungspace-occupyinglesionsQIANYuanLIUYayunSONGFulianTheFirstPeople，sHospitalofZhaotongCity,Zhaotong657000,China[Abstract]ObjectiveToexploreandanalyzetheclinicaldiagnosticmethodsoflungspace-occupyinglesionsfor
4、makingadefinitediagnosis・MethodsTheclinicaldataof100caseswithlungspace-occupyinglesionsadmittedintoourhospitalfromJanuary2011toJanuary2013wereanalyzedretrospectively.Theclinicaldiagnosis-relateddataofallpatientswereanalyzed,suchasthepatient'ssputumsmear,br
5、onchoscopy,percutaneouslungbiopsy,surgicalexploration,etc・Theclinicaldiagnosticmethodsoflungspace-occupyinglesionswereunderstoodthenadefinitediagnosiswasmade・ResultsAmong100caseswithlungspace-occupyinglesions,82patientswerediagnosedandaccountedfor82.0%,ofw
6、hich22patientswerediagnosedbynon-invasiveexaminationandaccountedfor22.0%；29patientswerediagnosedbybronchoscopyandaccountedfor29.0%；30patientswerediagnosedbyCT-guidedpercutaneouslungbiopsyandaccountedfor30.0%；18patientswerediagnosedbysurgicalexplorationanda
7、ccountedfor18.0%.18patientshadnotbeenmakeadefinitediagnosisandaccountedfor18.0%.Among82diagnosedcases,therewere40casesoflungcancer,16casesoftuberculosis,14casesofinflammatorypseudotumor,5casesofleiomyoma,5casesoflipoma,2casesoffibroma・ConclusionTheclinical
8、diagnosticmethodsforlungspace-occupyinglesionswithundefineddiagnosticetiologyaresputumsmear,bronchoscopy,percutaneouslungbiopsy,surgicalexplorationinturn,andtheaccuracyofclinicaldiagnosisishigher.[Keywords]Lu
