探讨细胞学在原发性肺癌诊断中的作用  

The Exploration of the Role of the Cytology Test in Diagnosis of Primary Lung Cancer

作　　者：丁顺[1] 余茂武[1] DING Shun YU Mao-wu(Ningde Municipal Hospital Affiliated to Fujian Medical University , Ningde 352100, China)

机构地区：[1]福建医科大学附属宁德市医院,福建宁德352100

出　　处：《中外医学研究》2016年第28期60-62,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨细胞学检测在原发性肺癌诊断中的意义。方法:对收集到的活检、穿刺组织或术后大体标本病理确诊的原发性肺癌的230例患者的痰液、纤维支气管镜刷检涂片、肺泡灌洗液、穿刺涂片、胸水细胞涂片进行回顾性分析。结果:纤维支气管镜刷检敏感度为87.08%;痰液涂片敏感度为29.03%;肺泡灌洗液细胞涂片敏感度为53.57%;穿刺涂片敏感度为92.31%;胸水细胞涂片敏感度为58.33%,细胞学诊断总敏感度为90.43%。结论:细胞学能协同组织病理提高肺癌检出率,具有重要意义。Objective： To explore the role of the cytology test in diagnosis of primary lung cancer.Method： 230 patients with primary lung cancer confirmed by biopsy, puncture or the postoperative pathology, witch sputum, bronchial brush, bronchoalveolar lavage fluid, puncture smear, pleural effusion cells collected were retrospectively analyzed.Result： The sensitivity of fiber bronchoscopy brush was 87.08%, the sensitivity of sputum was 29.03%, the sensitivity of bronchoalveolar lavage fluid was 53.57%, the sensitivity of puncture smear was 92.31%, the sensitivity of pleural effusion cells was 58.33%, the total sensitivity of cytological diagnosis was 90.43%.Conclusion： Cytology can improve the detection rate of lung cancer, and it is of great significance.

关 键 词：纤维支气管镜 细胞学检测 肺癌 胸水 

分 类 号：R734.2[医药卫生—肿瘤]