纤维支气管镜术后痰细胞学检查对肺癌诊断的价值  

Value of sputum cytology for postoperative patients underwent fiberoptic bronchoscopy in diagnosis of lung cancer

作　　者：韦荣干[1] 王庆国[1] 黄文珊[2] 叶见波[1] 

机构地区：[1]广西壮族自治区人民医院病理科,南宁530021 [2]广西壮族自治区人民医院呼吸科

出　　处：《临床肺科杂志》2009年第1期48-49,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的观察纤维支气管镜术后痰（以下简称“术后痰”）细胞学检查对肺癌诊断的价值。方法对110例行纤维支气管镜术患者术后第2～5天根据情况送1～3次痰细胞学检查。结果110例有64例确诊为肺癌，其中62例通过刷检、冲洗液、咬检、术后痰、穿刺等6种不同方法联合检查得到确诊，2例通过开胸手术才能确诊。术后痰共检出癌40例，可疑癌2例，不典型上皮细胞3例。纤维支气管镜术结合术后痰检查使肺癌的检出率达92．19％，在两者基础上结合穿刺术可使肺癌检出率提高到96．88％。同时，本组术后痰癌细胞分类与组织学对照，符合率为94．12％。结论结合纤维支气管镜术后痰细胞学检查可提高肺癌的检出率。术后痰细胞学检查对癌细胞分类的准确率高。Objective To explore the value of sputum cytology in the diagnosis of lung cancer for postoperative patients who underwent fiberoptic bronchoscopy. Methods 110 patients accepted 1-3 sputum cytological examinations in 2-5 days after fiberoptic bronchoscopy. Results Among the 110 cases, 64 cases were diagnosed as lung cancer. 62 cases were confirmed by different examinations, including brush cytology, liquid washing, postoperative sputum cytology, excisional biopsy, and puncture. 2 cases were confirmed by thoracotomy. 40 cases of cancer, 2 cases of doubted cancer, and 3 cases of atypical epithelial ceils were found in postoperative patients with sputum cytological examinations. The detectable rate of lung cancer was 92. 19% for fiberoptic bronchoscopy combined with sputum cytology, and it increased to 96. 88% by using puncture therapy in addition. Comparing the result of differential cell counts with that of pathological biopsy, the diagnostic accuracy was 94. 12%. Conclusion Sputum cytology for postoperative patients of fiberoptic bronchos-copy can increase the detectable rate of lung cancer, and it is helpful to get higher diagnostic accuracy of malignant cancer cell counts.

关 键 词：纤维支气管镜术 术后痰 细胞学 肺癌 

分 类 号：R734.2[医药卫生—肿瘤]