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肺癌支氣管鏡檢查之結果與胸部X光片所見之關係

RESULTS OF BRONCHOFIBERSCOPIC EXAMINATIONS IN LUNG CANCER IN RELATION TO THE FINDINGS OF CHEST X-RAY FILMS

摘要


本報告乃從肺癌病人的各種不同的胸部X 光片表徵着手,探討軟式纖維支氣管鏡檢查在不同的表徵所能帶到的診斷率。在胸部X光片出現大腫瘤塊(直徑大於4公分)時,有97.0%的診斷率(包括病理或細胞學診斷)。出現支氣管堵塞現象時,只有96.6%的診斷率。在小腫瘤塊羣中,右78%的診斷率。在肋膜積水羣中,則只有62.5%的診斷率。軟式纖維支氣管鏡檢查對中心性可見腫瘤的診斷率為93.4%,對周邊性不可見腫瘤的診斷為68.9%。對整體而言,則有89.5%的診斷率。

關鍵字

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並列摘要


This is an analysis of the results of 181 bronchofiberscopic examinations in relation to various chest x-ray findings of primary lung cancer. According to chest x-ray findings the large mass (more than 4CM in diameter) and bronchial obstruction groups yield the highest diagnostic rate in bronchofiberscopy. They are 97.0% and 96.6% respectively. Among the small mass group the diagnostic rate is 78.0%, and 62.5% is noted in the pleural effusion group. The total diagnostic rate of bronchofiberscopic examinations is 89.5%. Amont these, 93.4% is obtained in central visible tumor group and 68.9% in peripheral non-visible group.

並列關鍵字

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