| 张秀梅,王淑清,甄道济,许冠鹏.PCR 诊断对肺癌胸内分期的临床意义[J].中国医学影像技术,2000,16(3):0213~216 |
| PCR 诊断对肺癌胸内分期的临床意义 |
| The Capabil ity of PCR Diagnosis on Staging of Bronchogenic Carcinoma |
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| DOI： |
| 中文关键词: 肺癌 肿瘤分期 X 线胸片体层摄影 |
| 英文关键词:Bronchogenic carcinoma Tumor staging Plane chest roentgenoscopy tomograply |
| 基金项目: |
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| 摘要点击次数: 1555 |
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| 中文摘要: |
| 目的 分析评价X 线胸片(PCR) 对肺癌分期的能力。方法 对90 例经组织学诊断确认的肺癌进行回
顾性分析,与PCR 诊断结果进行对比。结果 PCR 对肺癌临床分期(cTNM) 与病理分期(p TNM) 相一致的占
6212 %;判断可切除的和不可切除的肺癌准确性为7313 %。对不能手术的病例(5313 %) 具有决定诊断意义的表现
为主支气管罹病( T3 、T4) ,胸水( T4) ,纵隔淋巴结转移(N2 、N3 ) 等;其次胸外转移和内科情况均为不能手术的重要前
题。结论 PCR 对肺癌分期的准确性较高,并且经济、简便,目前仍为临床诊断肺癌的首选检查方法。PCR 的缺点
是准确证实肿瘤浸润胸膜(壁) 、纵隔( T3 、T4) 、纵隔淋巴结转移(N2 、N3) 及胸外转移(M1) 等有一定限制。 |
| 英文摘要: |
| Objective Study the capability of plane chest roentgenoscopy ( PCR) in the staging of bronchogenic carcinoma. Methods Comparing PCR results with pathological diagnosis for 80 cases of bronchogenic carcinoma. Results The
proportion of which PCR results are consistent with the pathological diagnosis is 62. 2 %;the accuracy of PCR on resesctable
or unresectable for bronchogenic carcinoma is 73. 3 %. The criteria for unresesctable cases (53. 3 %) are mainbronchus being
affected( T3 ,T4) ,thorax liquid( T4) ,metastasis of carcinoma in mediastinum lymph mode (N2 ,N3) et al ,metastasis of carcinoma out side the chest and some internal disease are criteria for unresectable as well. Conclusion The accuracy of PCR in
the staging of bronchogenic carcinoma is high. This method is economy and convenient ,and it is still the primary method for
clinical diagnosis of bronchogenic carcinoma. The shortage of PCR are the uncertainty for some cases in demonstrating the
tumor infiltration on pleura and mediastinum( T3 , T4 ) ,metastasis of carcinoma in mediastinum lymph mode (N2 ,N3 ) and
metastasis of carcinoma out side the chest et al. |
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