纤支镜检查对肺结核合并肺癌的诊断价值  

Value of Fiber Bronchoscope in Diagnosis of Pulmonary Tuberculosis Complicated with Lung Cancer

作　　者：陈红梅[1] 傅满姣[1] 

机构地区：[1]长沙市中心医院胸6科,湖南长沙410007

出　　处：《现代临床医学》2016年第5期360-361,共2页Journal of Modern Clinical Medicine

基　　金：国家重大科技专项(2013ZX10005004)

摘　　要：目的:探讨支气管镜检查对肺结核合并肺癌的诊断价值。方法:对6 552例确诊的肺结核患者抗痨治疗1个月后临床表现及影像学检查无明显好转,或短暂好转又加重的患者行支气管镜检查,分别予以镜下活检、刷检、肺泡灌洗找病理细胞。结果:6 552例肺结核患者中合并肺癌83例,其中经支气管镜下活检、刷检、肺泡灌洗找病理细胞确诊肺癌58例(69.88%),经皮肺穿刺活检及胸水找病理细胞确诊肺癌25例(30.12%)。结论:肺结核患者在常规抗痨治疗效果不理想时,要警惕可能合并肺癌,支气管镜检查在肺结核合并肺癌的诊断中有重要临床价值。Objective：To investigate the value of fiber bronchoscope in the diagnosis of pulmonary tuberculosis complicated with lung cancer.Methods： 6 552 patients with pulmonary tuberculosis whose clinical and imaging manifestation were not improved or aggravated following transient improvement after one-month anti-TB treatment received fiber bronchoscope examination, and then underwent endoscopic biopsy, brush biopsy and bronchoalveolar lavage for pathological cells, respectively. Results：Of 6 552 cases of pulmonary tuberculosis,83 cases were complicated with lung cancer in which 58 cases（69.88%） were confirmed by fiber bronchoscope-guided biopsy, brush biopsy, or alveolar lavage for pathological cells;25 cases（30.12%） were confirmed by percutaneous lung biopsy and pathological cells examination in pleural effusion.Conclusion：Keeping a vigilant eye upon the complication with lung cancer is necessary when routine anti-TB effect is not ideal.Bronchoscopy has important clinical value in the diagnosis of pulmonary tuberculosis complicated with lung cancer.

关 键 词：纤维支气管镜 肺结核 肺癌 诊断 

分 类 号：R521[医药卫生—内科学] R734.2[医药卫生—临床医学]