纤维支气管镜联合取材对肺癌诊断的临床价值  

作　　者：谢艳丽[1] 杨玉梅[1] 刘莉敏[1] 李玉磊[1] 李琪[1] 曾桃英[1,2] 王以炳[1] 

机构地区：[1]武汉科技大学附属天佑医院呼吸内科,湖北武汉430064 [2]武汉科技大学附属天佑医院病理科

出　　处：《临床肺科杂志》2010年第12期1715-1716,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的评价纤维支气管镜检查对肺癌的诊断价值,探讨纤维支气管镜下联合采用多种取材方法对肺癌诊断的临床意义。方法回顾性分析109例肺癌患者,经纤支镜检查采用钳夹、刷检、灌洗联合取材方法,获取标本,经病理学检查或细胞学检查确诊为肺癌,比较三种不同取材方法及联合取材方法获取肺癌诊断阳性率。结果钳夹、刷检、灌洗对肺癌诊断的阳性率分别是82.02%、69.44%、55.96%,三种方法联合后总阳性率为98.86%,联合取材与单一方法取材比较差异有显著性(P<0.05)。结论纤支镜检查是确诊肺癌的重要手段之一,联合取材可以提高肺癌诊断的阳性率。Objective To assess the Evaluation of fiberoptic bronchoscopy on lung cancer,and to discusse fiberoptic bronchoscopy combined with a variety of derived methods for diagnosis of lung cancer.Methods Retrospective analysis of 109 patients with lung cancer by fiberoptic bronchoscopy with forceps,brush biopsy,lavage the joint derived method to obtain specimens by pathology or cytology diagnosed as lung cancer,derived from three different methods and combined derived method to obtain positive rate of diagnosis of lung cancer.Results forceps,brush biopsy,lavage positive rate of diagnosis of lung cancer were 82.02% 、69.44% 、55.96%.The total positive rate was 98.86%,combined derived method with a single method may have significant differences（P 0.05）.Conclusion Fiberoptic bronchoscopy is an important means of diagnosis of lung cancer,combined derived method can improve the positive rate of diagnosis of lung cancer.

关 键 词：纤维支气管镜 联合取材 肺癌 诊断 

分 类 号：R734.2[医药卫生—肿瘤]