TBLB联合细胞学检查在周围型肺癌诊断中的应用  

Application of TBLB Combined with Cytology in the Diagnosis of Peripheral Lung Cancer

作　　者：张志强[1] 苏向红[1] 潘素芳[1] ZHANG Zhi-qiang;SU Xiang-hong;PAN Su-fang(The Third Staff Hospital of Baogang Group,Baotou,Inner Mongolia 014010)

机构地区：[1]内蒙古包头市包钢集团第三职工医院,内蒙古包头014010

出　　处：《智慧健康》2018年第32期40-42,共3页Smart Healthcare

摘　　要：目的探讨非直视经纤支镜肺活检(TBLB)联合细胞学检查在周围型肺癌诊断中的临床应用价值。方法采用回顾性分析的方式对我院自2016年7月至2018年5月进行非直视经纤支镜肺活检并最终诊断为周围型肺癌的83例患者作为观察对象。结果 83例患者中盲检阳性率为61.4%(51例),支气管肺泡灌洗阳性率为25.3%(21例),痰检阳性率为16.9%(14例),刷片阳性率为22.9%(19例),四种方法联合检查阳性率为85.5%(71/83)。结论 TBLB联合细胞学检查对于周围型肺癌的临床诊断具有较高的阳性率,可靠性良好,值得临床推广应用。Objective To investigate the clinical value of non-direct bronchoscopy with lung biopsy (TBLB) combined with cytology in the diagnosis of peripheral lung cancer.Methods A retrospective analysis was performed in 83 patients who underwent non-direct bronchoscopy lung biopsy and finally diagnosed peripheral lung cancer from July 2016 to May 2018.Results The positive rate of blind detection was 61.4%(51 cases),the positive rate of bronchoalveolar lavage was 25.3%(21 cases),the positive rate of sputum test was 16.9%(14 cases),the positive rate of brush was 22.9%(19 cases),four types.The positive rate of combined method was 85.5%(71/83).Conclusion TBLB combined with cytology has a high positive rate for the clinical diagnosis of peripheral lung cancer,and its reliability is good.It is worthy of clinical application.

关 键 词：非直视经纤支镜肺活检 周围型肺癌 临床诊断 

分 类 号：R734.2[医药卫生—肿瘤]