X线、CT与纤维支气管镜对肺结核的诊断效果对比分析

摘要

目的评价多种影像技术对肺结核的诊断价值。方法对60例经临床、病理及病原学证实的肺结核进行X线、CT及纤维支气管镜(纤支镜)检查，分析各种诊断方法的特点。结果60例肺结核的确诊率X线、CT和纤支镜分别为83.3%、93.3%和35.0%。在鉴别诊断方面CT优于X线。纤支镜确诊了4例X线、CT未能定性的肺结核。结论X线检查仍是一种基本的影像学检查方法，CT和纤维支气管镜为重要的补充。综合运用各种技术对提高肺结核的诊断水平是十分必要的。%Objective To evaluate the effect of multiple imaging technologyin the diagnosis of pulmonary tuberculosis.Methods X-ray,CT and bronchoscope were used to diagnose 60 cases of pulmonary tuberculosis,which had been confirmed clinically,pathologically and etiologically.The features of all the diagnostic methods were analysed.Results The diagnostic rates of X-ray, CT and bronchoscope were 83.3%,93.3%and 35.0% respectively.CT was superior to X-ray in differential diagnosis,and 4 cases were accurately diagnosed by using bronchoscope,in which X-ray and CT failed to give diagnosis.Conclusion X-ray is still a basic imaging method,while CT and bronchoscope are important complements.Combined application of multiple imaging technology is essential to increase the accuracy of the diagnosis of pulmonary tuberculosis.