螺旋CT、电子支气管镜及痰脱落细胞联合检查对中央型肺癌的诊断价值  

Diagnostic Value of Spiral CT,Electronic Bronchoscopy and Sputum Cytology for Central Pulmonary Carcinoma

作　　者：李宝明[1] 张美菊[2] 吴兴辉[1] 李筠[1] 

机构地区：[1]宝鸡市第二人民医院呼吸内科 [2]宝鸡市第二人民医院肿瘤科,陕西宝鸡721000

出　　处：《医学综述》2009年第12期1897-1899,共3页Medical Recapitulate

摘　　要：目的评价螺旋CT、电子支气管镜及痰脱落细胞联合检查对中央型肺癌的诊断价值。方法回颚分析2004年1月至2008年12月我院呼吸内科及肿瘤内科收治的经病理证实为中央型肺癌的住院患者120铡，全部病例均有胸部螺旋CT、电子支气管镜检查及痰脱落细胞检查，其中54例分别于支气管镜检查前后送检痰脱落细胞，对各种检查结果进行对照分析。结果痰脱落细胞学检查、螺旋CT、电子支气管镜对中央型肺癌的诊断符合率分别为33．3％、83．3％、88．3％，镜检术后痰脱落细胞学检查的诊断符合率可达到51．9％：胸部螺旋CT与电子支气管镜、痰脱落细胞学检查结合诊断符合率达100％。组织学类型以鳞癌、小细胞未分亿癌多见，分别为56．7％、25．0％。结论螺旋CT、电子支气管镜及痰脱落细胞联合检查可提高诊断阳性率。Objective To evaluate the diagnostic value of central pulmonary carcinoma with spiral CT, Electronic bronchoscopy and sputum cytology. Methods We have collected and reviewed total 120 cases of central pulmonary carcinoma that confirmed by pathology from January 2004 to December 2008 in the departmeats of respiration and department of medical oncology of the second people＇s hospital of Baoji city. All of the cases had been checked by spiral CT,electronic bronchoscopy and sputum cytology. In 54 of the 120 ca- ses the sputum cytology examinations had been done during the pre-or post-bronchoscopy,the results of each examination were analyzed comparatively. Results The diagnostic rate of central pulmonary carcinoma by sputum cytology, spiral CT and Electronic bronchoscopy was 33.3% ,83.3% and 88.3% respectively. The di- agnostic rate of central pulmonary carcinoma by sputum cytology after Electronic bronchoscopy was 51.9 %. The diagnostic rate of central pulmonary carcinoma by sputum cytology combined with spiral CT and Elec- trenic bronchoscopy was up to 100%. In histology, squamous cell and small cell undifferentiated carcinoma were more common, in 56.7% and 25.0% respectively. Conclusion Spiral CT combined with electronic bronchoscopy and sputum cytology is benefit to the diagnosis of central pulmonary carcinoma.

关 键 词：螺旋CT 电子支气管镜检查 痰脱落细胞检查 中央型肺癌 

分 类 号：R730.4[医药卫生—肿瘤] R734.2[医药卫生—临床医学]