肺癌术前病理诊断方法的临床研究  

Clinical evaluation of preoperative pathological examinations for the diagnosis of lung cancer

作　　者：周源[1] 汪栋[1] 张传生[1] 韩开宝[1] 孙宏志[1] 孙向东[1] 叶玉坤[1] 

机构地区：[1]解放军第81医院全军肿瘤中心胸心外科,江苏南京210002

出　　处：《现代肿瘤医学》2006年第12期1530-1532,共3页Journal of Modern Oncology

摘　　要：目的：探讨肺癌术前病理诊断的主要方法及其应用价值。方法：分析本院2000年1月～2005年1月585例手术治疗肺癌患者的临床病理资料，总结术前病理诊断的方法与结果。结果：585例肺癌患者中，术前病理确诊529例，占90．4％。其中痰脱落细胞检查阳性率24．3％（68／280），纤维支气管镜检查阳性率56．7％（267／471），经皮穿刺肺活检阳性率91．5％（238／260）。结论：外科治疗肺癌患者术前明确病理诊断主要依靠纤维支气管镜检查、经皮穿刺肺活检；经皮穿刺肺活检是提高周围型肺癌术前病理确诊率的可靠检查手段。Objective：To investigate the method and its clinical value of preoperative pathological examinations in the pathological diagnosis of lung cancer. Methods： From Jan. 2000 to Jan. 2005,585 patients of primary lung cancer were treated surgically in our hospital. Their clinical and pathological records were reviewed. Results： Of 585 patients, 529 cases（90.4% ） were pathologically diagnozed before operation. The positive rate of sputum collection for examining exfoliated cells was 24.3% （68/280）. The positive rates of bronchofibroscopy （BF） and percutaneous aspiration lung biopsy（PALB） were 56.7% （267/471） and 91.5% （238/260） respectively. Conclusion： BF and PALB are the main methods for the preoperative pathological diagnosis of lung cancer. PALB is a safe and effective method to improve the pathological diagnostic accuracy of peripheral lung cancer.

关 键 词：肺癌 病理检查 病理诊断 手术前 

分 类 号：R734.2[医药卫生—肿瘤]