经电子支气管镜活检和/或刷检诊断肺癌的临床研究  

The clinical study of electronic fibro-bronchoscope biopsy compared with biopsy combined with brush biopsy in lung cancer

作　　者：杨娟[1] 张金松[1] 

机构地区：[1]启东市人民医院呼吸内科,江苏226200

出　　处：《临床肺科杂志》2009年第6期715-716,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨经支气管镜单纯活检同活检加刷检对肺癌的诊断价值。方法患者在常规局麻下行电子支气管镜检查,钳取组织标本或(和)作毛刷涂片行细胞学检查。结果钳检阳性率高于刷检阳性率,但单纯活检阳性率与活检+刷检阳性率比较无统计学差异,(P>0.05)。结论经电子支气管镜活检+刷检与单纯活检相比,不能提高肺癌诊断的阳性率,且相关并发症、医疗费用明显上升。Objective To study the diagnostic value of electronic fibro-bronchoscope biopsy compared with biopsy combined with brush biopsy in lung cancer. Methods Patients underwent inspection with electronic fibre - hronchoscope after superficial anesthesia, nipped or （and） brush smeared specimens were collected for cytological analysis. Results The positive value of nipped biopsy was higher than brush biopsy. There were no significant statistical differences between biopsy and biopsy combined brush biopsy （P〉0.05）. Conclusion Simple electronic fibro-bronchoscope biopsy has the same diagnostic value compared to other fibro-brenchoscopic modality, and has low complications and cost.

关 键 词：电子支气管镜 肺癌 诊断 活检 刷检 

分 类 号：R734.2[医药卫生—肿瘤]