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1、DR联合支气管镜检查对肺结核与小叶性肺癌的临床诊断价值梁矿立李永波陕西省结核病防治院X关注成功！加关注后您将方便地在我的关注中得到本文献的被引频次变化的通知！·新浪微博·腾讯微博·人人网·开心网·豆瓣网·网易微博摘 要：目的探讨数字X射线机(DR)联合支气管镜检查诊断肺结核与小叶性肺癌的临床价值。方法分析150例疑似肺结核与小叶性肺癌患者的病例资料,疑似小叶性肺癌患者48例,疑似肺结核患者102例,以临床表现及手术病理活检结果为依据,比较观察常规检查和DR联合支气管镜检查的特异度、敏感度和准确度。结果DR联合支气管镜检查诊断小叶性肺癌的灵敏度、特异度和准
2、确度分别为74.19%、70.59%和72.92%,高于常规检查的51.61%、52.94%和52.08%(P<0.05);DR联合支气管镜检查诊断肺结核的灵敏度、特异度和准确度分别为71.79%、70.83%和71.57%,高于常规检查的55.13%、54.17%和54.90%(P<0.05)。结论DR联合支气管镜检查对肺结核和小叶性肺癌的诊断效果好,有利于患者及早得到确诊和治疗,值得临床推广。关键词：数字X射线机;支气管镜;肺结核;小叶性肺癌;临床价值;ClinicalValueofDRCombinedwithBronchoscopyintheDiagno
3、sisofPulmonaryTuberculosisandLobularLungCancerLIANGKuangliLIYongboTuberculosisControlInstituteofShaanxi;Abstract：ObjectiveToevaluatetheclinicalvalueofDRcombinedwithbronchoscopyinthediagnosisofpulmonarytuberculosisandlobularlungcancer.MethodsClinicaldataof150casesofsuspectedpulmonary
4、tuberculosisandlobularlungcancerpatientswereretrospectivelyanalyzed,48casesweresuspectedlobularlungcancer,102casesweresuspectedpulmonarytuberculosis,accordingtotheclinicalmanifestationsandpathologicalbiopsyresults,thespecificity,sensitivityandaccuracyofroutineexaminationandDRcombine
5、dwithbronchoscopywerecompared.ResultsThesensitivity,specificityandaccuracyofDRcombinedwithbronchoscopyinthediagnosisoflobularlungcancerwere74.19%,70.59%and72.92%,respectively,whichwerehigherthanthoseofroutineexamination(51.61%,52.94%and52.08%)(P<0.05).Thesensitivity,specificityandac
6、curacyofDRcombinedwithbronchoscopyinthediagnosisoftuberculosiswere71.79%,70.83%and71.57%,respectively,whichwerehigherthanthoseofroutineexamination(55.13%,54.17%and54.90%)(P<0.05).ConclusionDRcombinedwithbronchoscopyfortuberculosisandlobularlungcancerhasgooddiagnosiseffect,itisconduc
7、ivetoearlydiagnosisandtreatmentofpatients,andhasclinicalpromotionvalue.Keyword：DigitalX-raymachine;Bronchoscopy;Tuberculosis;Lobularlungcancer;Clinicalvalue;肺结核与肺癌严重危害人体健康,当前,结核病在发展中国家尚未得到有效控制,同时,肺癌的发病率亦呈逐年上升趋势。因此,肺结核与肺癌的诊断急需得到重视[1]。但由于肺部病变性质多样,包括炎症、结核、炎性肉芽肿的肿瘤等,临床易出现漏诊和误诊情况,从而耽误了患者
8、及时接受治疗[2]。因此,如何提高肺结
