经纤维支气管镜多种取材方法对肺癌的诊断价值  

Diagnosis value of different drawing materials methods with bronchofibroscopy in pulmonary carcinoma

作　　者：解国清[1] 廖国清[1] 李雷[1] 马太林[1] 

机构地区：[1]解放军总医院第二附属医院,北京100091

出　　处：《山东医药》2008年第1期39-40,共2页Shandong Medical Journal

基　　金：军队"十一五"科研基金资助项目(06Z056)

摘　　要：目的探讨纤维支气管镜下不同取材方法对肺癌的诊断价值。方法回顾性分析我院1999年8月-2005年5月481例经纤维支气管镜检查确诊肺癌的患者，比较采用钳夹、刷检、针吸和灌洗的取材方法检测肺癌的阳性率。结果钳夹、刷检、针吸和灌洗的阳性率分别为83．9％、70％、59．1％和35．9％，联合后总阳性率为90．2％。结论纤维支气管镜检查是确诊肺癌的重要手段之一，联合应用多种取材方法可提高肺癌的诊断准确率。Objective To explore the diagnosis value of different drawing materials methods with bronehofibroseopy in pulmonary carcinoma. Methods 481 diagnosed patients with pulmonary carcinoma by bronehofibroscopy during Aug 1999 to May 2005 were analyzed. Four different drawing materials method including damping, brushing, needling and rinse checking were used to diagnose. The positive rates of these four methods were compared. Results The positive rate of clamping, brushing, needling and rinse checking were 83.9% , 70% , 59.1% and 35.9% respectively, and the total positive rate was 90.2% after being united. Conclusions Bronehofibroseopy is one of the most important methods in diagnosing pulmonary carcinoma. Using multiple drawing materials methods in bronehofibroseopy can improve the accuracy rate of diagnosis of lung cancer significantly.

关 键 词：纤维支气管镜 肺肿瘤 诊断 

分 类 号：R734.2[医药卫生—肿瘤]