支气管镜辅助诊断特殊类型肺癌的应用价值  

The application value of bronchoscopy in the auxiliary diagnosis of particular types of lung cancer

作　　者：毛建川[1] 黄江[2] 邹俊[2] 吕琴[2] 刘晓姝[2] 

机构地区：[1]四川省岳池县人民医院呼吸科,四川广安638300 [2]四川省医学科学院.四川省人民医院呼吸科,四川成都610072

出　　处：《实用医院临床杂志》2015年第6期125-127,共3页Practical Journal of Clinical Medicine

摘　　要：目的探讨支气管镜辅助诊断特殊类型肺癌的应用价值。方法收集2012年8月至2014年8月在四川省人民医院就诊的支气管镜下无肿瘤直接征象的158例确诊肺癌患者资料。分析其支气管镜下表现及经支气管镜组织病理活检、刷片、灌洗液脱落细胞学检查结果。结果本组患者支气管镜下表现主要以炎症为主,其次以管腔外压性狭窄为表现。经支气管镜的组织病理活检阳性率为15.19%,刷片阳性率为9.49%,灌洗液脱落细胞检查阳性率为4.43%,三者联合检查阳性率可达18.35%。结论凡是有肺癌高危因素患者,即使支气管镜检查不典型,也需在可疑病变处行有创检查,进一步明确诊断,减少肺癌的漏诊或误诊。Objective To investigate the application value of bronchoscopy in the auxiliary diagnosis of particular types of lung cancer. Methods The clinical data of 158 patients with lung cancer who had no direct signs of tumor undergone bronchoscope were collected from August 2012 to August 2014 in Sichuan Provincial People＇s Hospital. Their performance of bronchoscopy and the results of bronchoscopic biopsy,and brushing/lavage cytology were analyzed. Results Bronchoscopic manifestations were mainly composed of inflammation,followed by external pressure vessel stenosis. The positive rate of pathological bronchoscopy was 15. 19%. The positive rate of the brush cytology was 9. 49% and the positive rate of cells exfoliated lavage fluid was 4. 43%. The positive rate of combined three examinations was 18. 35%. Conclusion All patients with lung cancer risk factors should have an invasive examination at suspicious lesions,even if their bronchoscopy is not typical. Thus,this can further clarify the diagnosis and reduce the misdiagnosis of lung cancer.

关 键 词：支气管镜 特殊类型肺癌 

分 类 号：R734.2[医药卫生—肿瘤]