摘要
目的 探讨PET/CT联合肿瘤标志物与电子支气管镜检查在肺癌诊断中的应用价值,并进行对比分析.方法 收集2011年5月~2012年5月在我院PET/CT中心检查发现肺部病变患者68例,对纳入患者均进行了肿瘤标志物、电子支气管镜检查或经皮肺穿或手术取组织行病理学检查.结果 68例患者中,电子支气管镜、PET/CT、PET/CT联合肿瘤标志物检测对肺癌诊断的灵敏度、特异度及准确度分别为62.2%、93.5%及76.4%;81.8%、74.9%及77.9%;91.9%、77.4%及85.3%.结论 电子支气管镜检查的特异度较PET/CT显像检查高,而灵敏度较PET/CT显像检查低,二者的准确度基本相近,PET/CT与血清肿瘤标志物检测联合应用后可使灵敏度、特异度、准确度均有提高,可减少误诊或漏诊的发生.
Objective To comparative study of diagnostic value between PET/CT combined with tumor markers and electronic bronchoscopy lung cancer. Method Collect 68 cases of the patients who were found to have lung lesions in the examination conducted by the PET/CT center of our hospital during the period from May 2011 to May 2012, and carry out detection of tumor markers, electronic bronchoscopy or the pathological and cytological examination through percutaneous lung biopsy or surgical biopsy for all the patients involved. Result In the 68 patients, For diagnosis of lung cancers, the sensitivity, specificity and accuracy of electronic bronchoscopy, PET/CT, PET/CT combined with tumor markers are 62.2%、93.5% and 76.4%;81.8%、74.9% and 77.9%;91.9%、77.4% and 85.3%; respectively.Conclution Compared with PET/CT, the specificity of electronic bronchoscopy examination is higher , but the sensitivity is lower, the accuracy is similar . PET/CT combined with tumor markers that the methods can improve the sensitivity, specificity and accuracy to reduce the occurrence of misdiagnosis and missed diagnosis.
出处
《临床肺科杂志》
2014年第4期701-703,共3页
Journal of Clinical Pulmonary Medicine
关键词
肺癌
诊断
肿瘤标志物
PET
CT
电子支气管镜
lung cancer
diagnostic
serum tumor markers
PET/CT
electronic bronchoscopy
