支气管镜下多途径取材对非管腔内增生型肺癌的诊断价值  

Diagnosis value of multi-drawing materials methods with bronchoscopy in non-hyperplasia type pulmonary carcinoma

作　　者：曹立明[1] 胡成平[1] 杨红忠[1] 杨华平[1] 瞿素洁[1] 蔡晓玲[1] 

机构地区：[1]中南大学湘雅医院,湖南长沙410008

出　　处：《中国内镜杂志》2010年第9期921-923,共3页China Journal of Endoscopy

摘　　要：目的探讨支气管镜下多途径取材方法对非管腔内增生型肺癌的诊断价值。方法回顾性分析该科2008年7月～2010年7月345例确诊为肺癌患者的临床资料,比较支气管镜下采用钳夹、刷检、灌洗、盲刷的取材方法以及多方法联合对肺癌诊断的阳性率。结果肺癌在支气管镜下表现为黏膜浸润型病变和黏膜外压型病变时,联合取材(钳检+刷检+灌洗)的阳性率分别为80.01%,54.02%,高于单纯钳检的阳性率(75.72%,48.27%);在支气管镜下表现为正常黏膜患者中,联合取材(刷检+灌洗)阳性率为34.61%,高于单纯刷检(28.84%)或灌洗(23.08%)。结论根据肺癌镜下表现情况不同,在支气管镜下采取不同取材方法,对肺肿瘤均有很高的诊断价值。联合不同取材方法比用单一取材方法诊断肺肿瘤的阳性率高。【Objective】 To explore the diagnosis value of multi-drawing materials methods with bronchoscopy in pulmonary carcinoma.【Methods】Adopt analystic approach of reviewing method,345 diagnosed patients with pulmonary carcinoma by bronchooscopy during July 2008 to July 2010 were analyzed.Different drawing materials method including forceps biopsy,brush biopsy,rinse checking and blind brush biopsy were used or combined used to diagnose.The positive rates of these methods were compared.【Results】Diagnosed patients divided into three types under the bronchoscope：aggressive type,the outer-pressing type and normal type.In aggressive type,the outer-pressing type,the positive rate of combined with different drawing materials method（forceps biopsy,brush biopsy,rinse checking） was 80.01%,54.02%,higher than simple forceps biopsy（75.72%,48.27%）.In normal type,the positive rate of combined with blind brush biopsy and rinse checking was 34.61%,higher than simple blind brush biopsy（28.84%） or simple rinse checking（23.08%）.【Conclusions】It has a higher diagnostic value for pulmonary carcinoma to get specimen in different way according to the conditionally different pulmonary carcinoma.Combining different methods to get specimen is higher than simple way to get specimen in diagnosing positive rate of pulmonary carcinoma.

关 键 词：支气管镜 肺肿瘤 诊断 活检 

分 类 号：R734.2[医药卫生—肿瘤]