纤维支气管镜联合取材对肺癌诊断的价值  

Diagnostic value of pulmonary carcinoma by fiberobronchoscope allied taking sample

作　　者：李玉光[1] 张罗献[1] 马利军[1] 马厚志[1] 

机构地区：[1]河南省人民医院呼吸科,郑州市450003

出　　处：《实用诊断与治疗杂志》2008年第1期20-21,共2页Journal of Practical Diagnosis and Therapy

摘　　要：目的:评价纤维支气管镜联合取材对肺癌诊断的价值。方法:对478例肺癌患者纤维支气管镜检查结果进行回顾性分析,比较钳检、刷检、冲洗与联合取材对肺癌诊断的阳性率。结果:钳检、刷检、冲洗的阳性率分别为83.7%,71.9%,70.1%,钳检并刷检与三者联合取材的阳性率分别为89.3%和93.7%。联合取材阳性率显著高于单一取材(P<0.01)和钳检并刷检(P<0.05)。取材诊断阳性率与镜下肺癌类型有关。结论:纤维支气管镜联合取材可提高肺癌诊断率。Objective To evaluate the diagnostic value of pulmonary carcinoma by fiberobronchoscope allied taking sample.Methods The results of fiberobronchoscopy were analyzed retrospectively in 478 cases of pulmonary carcinoma,and the differences of diagnostic positive rate were compared among protractor biopsy,brush biopsy,lavation and allied taking sample.Results The positive rate of protractor biopsy,brush biopsy and lavation were 83.7%,71.9% and 70.1%respectively,the postive rate of protractor biopsy with brush biopsy and allied taking sample were 89.3% and 93.7%.The positive rate of allied taking sample was higher than that of each of three methods（P〈0.01） and protractor biopsy with brush biopsy（P〈0.05）.The taking sample positive rate was related to the type of pulmonary carcinoma.Conclusion Allied taking sample by fiberobronchoscope can increase the diagnostic positive rate of pulmonary carcinoma.

关 键 词：纤维支气管镜 肺癌 诊断 

分 类 号：R734.2[医药卫生—肿瘤]