经支气管针吸术对管壁浸润型肺癌的诊断价值  

THE DIAGNOSTIC VALUE OF TRANSBRONCHIAL NEEDLE ASPIRATION IN PATIENTS WITH BRONCHIAL WALL INFILTRATION IN LUNG CANCER

作　　者：卞慧敏[1] 钱本烨[1] 

机构地区：[1]天津市胸科医院

出　　处：《医师进修杂志》1999年第2期24-25,共2页Journal of Postgraduates of Medicine

摘　　要：对８８例纤维支气管镜下未见具体肿瘤物仅见管腔受外压，局部管壁粘膜隆起，诊断考虑管壁浸润型肺癌，采用经支气管针吸术细胞检查，并同时行活检，刷检及冲洗进行对照。结果显示通过病理组织学或细胞学明确诊断为肺癌７４例，总阳性率８４％，针吸阳性率７０．２％，活检阳性率６７．５％，刷检阳性率６２．１％，冲洗阳性率３５．２％，提示针吸术对管壁浸润型肺癌有产高诊断价值，四项综合检查提高了对管壁浸润型肺癌的诊断率。Tissue pathologic and cytologic examination of 88 cases with only local bronchial wall swelling using the four technics of transbronchial needle aspiration (TBNA),bronchial biopsy,brushing and washing through the fiberoptic bronchoscopy.As a result,74 cases were identified as lung cancer (84%).The diagnostic rate of using TBNA was 70.2% that of bronchial biopsy 67.5% and bronchial brushing 62.1% (P>0.05) and bronchial washing 35.2%.It indicates that TBNA is more of advantage in the diagnosis of bronchial infiltrative lung cancer and that combination of these four methods would further elevate the diagnostic potential.

关 键 词：支气管针吸术 肺癌 诊断 纤维支气管镜 

分 类 号：R734.204[医药卫生—肿瘤]