肺部占位性病灶性质分析
作者：钱源 刘雅芸 宋福莲
来源：《中国医药科学》2013年第22期
[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%。最终18例患者未得到未明确诊断，占18.0%。82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 [文章编号] 2095-0616（2013）22-155-02
Analysis on nature of lung space-occupying lesions
QIAN Yuan LIU Yayun SONG Fulian
The First People's Hospital of Zhaotong City， Zhaotong 657000， China
[Abstract] Objective To explore and analyze the clinical diagnostic methods of lung space-occupying lesions for making a definite diagnosis. Methods The clinical data of 100 cas with lung space-occupying lesions admitted into our hospital from January 2011 to January 2013 were analyzed retrospectively. The clinical diagnosis-related data of all patients were analyzed， such as the patient's sputum smear， bronchoscopy， percutaneous lung biopsy， surgical exploration， etc. The clinical diagnostic methods of lung space-occupying lesions were understood then a definite diagnosis was made. Results Among 100 cas with lung space-occupying lesions， 82 patients were diagnod and accounted for 82.0%， of which 22 patients were diagnod by non-invas
ive examination and accounted for 22.0%； 29 patients were diagnod by bronchoscopy and accounted for 29.0%； 30 patients were diagnod by CT-guided percutaneous lung biopsy and accounted for 30.0%； 18 patients were diagnod by surgical exploration and accounted for 18.0%. 18 patients had not been make a definite diagnosis and accounted for 18.0%. Among 82 diagnod cas， there were 40 cas of lung cancer， 16 cas of tuberculosis， 14 cas of inflammatory pudotumor， 5 cas of leiomyoma， 5 cas of lipoma， 2 cas of fibroma. Conclusion The clinical diagnostic methods for lung space-occupying lesions with undefined diagnostic etiology are sputum smear， bronchoscopy， percutaneous lung biopsy， surgical exploration in turn， and the accuracy of clinical diagnosis is higher.
