重复纤维支气管镜检查在肺癌诊断中的应用价值分析  

Clinical Value of Repeated Bronchoscopy in Diagnosis of Lung Cancer

作　　者：高波[1] 方智野[1] 沈观乐[1] 黄河[1] 

机构地区：[1]深圳市第二人民医院,广东深圳518040

出　　处：《中外医学研究》2012年第18期41-42,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨重复纤维支气管镜检查在肺癌诊断中的应用价值。方法:回顾性分析66例重复纤维支气管镜检查并确诊为肺癌患者的临床病例资料。结果:首次纤维支气管镜检查未能给予确诊的疑诊肺癌患者,接受重复纤维支气管镜检并获得肺癌病理学确诊的重检阳性率为74.2%。重检1次者居多,共60例(90.9%),其中重检间隔时间一周居多,共46例[76.7%(46/60)]。经纤维支气管镜检查确诊的肺癌病例中为黏膜肥厚与凹凸不平或肿胀居多,共32例(48.5%)。结论:首次纤维支气管镜检查结果与临床、X线,特别是镜下直视不符时,应进行重复支气管镜检,重复检查以1、2次为宜,并应尽早重检。综合运用各种镜下诊断技术有助于提高诊断阳性率。Objective：To explore the value of repeated bronchoscopy in diagnosis of lung cancer.Methods：Clinical data of 66 patients received repeated bronchoscopy were analyzed retrospectively.Results：The positive rate of repeated bronchoscopy was 74.2% in the patients had not got the exact diagnosis received repeated bronchoscopy,and were diagnosed as lung cancer with pathological evidence,60 patients（90.9%） received repeated bronchoscopy only once,and 46 patients [76.7%（46/60）] received repeated bronchoscopy in a week,mucosa swelling and intra-bronchial mass was seen in 32 patients（48.5%）.Conclusion：Repeated bronchoscopy is recommended when initial pathological results are inconsistent with clinical manifestations,xray results,or especially morphological changes under endoscope.Once or twice more examinations may be an appropriate option,and it should be done as early as possible.The application of varied bronchoscope techniques may be helpful in improving positive rate.

关 键 词：纤维支气管镜 肺癌 诊断 

分 类 号：R734.2[医药卫生—肿瘤]