摘要
目的评价 X 线影像、CT 扫描、支纤镜检、痰检、针吸细胞学、冰冻切片学等对肺部肿瘤的诊断价值。方法对80例肺部肿瘤 X 线影像与 CT、支纤镜、痰检、针吸细胞学、冰冻切片组织学进行对照分析。结果 X 线一般能对肺部肿瘤作出诊断并初步定位;CT 具有 X 线优点外,对显示某些特殊部位肿瘤以及纵隔、肺门等淋巴结肿大或转移优于 X 线;支纤镜检适用于中央型肺部肿瘤;痰检适用于肺癌,特别是中央型肺癌;针吸细胞学适用于肺部肿籀,特别是周围型肿瘤;冰冻切片适用于肺部任何肿瘤,且对指导手术有价值。结论根据各种检查手段的优缺点,按照一定程序检查能快速、准确地对肺部肿瘤作出诊断,其实施顺序是 X 线、CT、痰检、支纤镜检(中央型肿瘤)、针吸细胞学(周围型肿瘤)、冰冻切片。
Objective To evaluate,the role of chest X-ray,C J,bronchoscopy,sputum examination,fine needle aspi- ration cytology,frozen sections,etc.in the diagnosis of lung tumors.Methods The chest X—ray,CT.bronchoscopy,sputum exami- nation,fine needle aspiration cytology,frozen sections and histopathology of 80 cases with lung tumors were compared and studied. Results X-ray could make diagnosis and preliminary localization for most lung tumors.With advantages of X-ra,CT was also superior to X-ray in displaying tumors of special location,mediastinal and hilar lymph node enlargement.Bronchoscopy was suited for the central lung tumors.Sputum examination was indicated for lung cancer especially the centrally located type.Fine needle aspiration cytology was suited for peripheral lung tumors.Frozen sections were applicable to all kinds of lung tumors and could be used as guide for operation.Conclusion Based on the results,we suggested the following order of examinatlon for fast and accurate diagnosis of lung qtumor:X-ray,CT scan,Sputum examination,bronchoscopy (for central tumor) fine needle aspiration cytology (peripheral tumor),frozen sections.
出处
《基层医学论坛》
2003年第1期65-67,共3页
The Medical Forum
