痰液基薄层细胞学技术与传统涂片方法诊断肺癌的价值对比  

Value comparison of liquid-based cytology test and traditional smear method in the diagnosis of lung cancer

作　　者：马宁[1] MA Ning(Department of Pathology, Baoji Central Hospital, Baoji 721008, China)

机构地区：[1]宝鸡市中心医院病理科,陕西宝鸡721008

出　　处：《临床医学研究与实践》2017年第23期134-135,共2页Clinical Research and Practice

摘　　要：目的探讨痰液基薄层细胞学技术及传统涂片方法对肺癌的诊断价值。方法选择我院收治的可疑肺癌患者135例作为研究对象,所有肺癌患者分别选择痰液基薄层细胞学技术及传统涂片方法实施细胞学检查,对临床检查结果进行观察,并与纤维支气管镜活检结果及患者手术病理切片结果进行比较。结果通过实施经纤维支气管镜活检及实施手术病理切片后,确诊为肺癌115例。选择传统涂片方法进行检验,阳性率为41.74%;采用痰液基薄层细胞学技术检验,阳性率为73.91%,两种方法阳性率比较,差异具有统计学意义(P<0.05)。行痰液基薄层细胞学技术及传统涂片方法检验中,三次痰检与一次痰检的阳性率比较,差异具有统计学意义(P<0.05);采用痰液基薄层细胞学技术诊断肺癌阳性率明显高于传统涂片(P<0.05)。结论对肺癌患者行痰液基薄层细胞学技术检测的阳性率明显高于传统涂片诊断方法,该方法可为肺癌疾病的诊疗提供可靠的依据,为肺癌患者生存质量的提高奠定坚实基础。Objective To investigate the diagnostic value of liquid-based cytology test and traditional smear method in the diagnosis of lung cancer. Methods A total of 135 cases of suspected lung cancer patients admitted in our hospital were selected as the study objects. All the patients accepted liquid-based cytology test and traditional smear method, and the clinical detection results were observed and compared with the results of transbronchial biopsy and pathology. Results Through the implementation of transbronchial biopsy and pathology after surgery, 115 cases of lung cancer patients were eventually diagnosed with the disease. The positive rate of traditional smear method was 41.74%; and that of liquid-based cytology test was 73.91%, there was significant difference between the two methods （P〈0.05）. In the liquid-based cytology test and traditional smear method, there were significant differences in the positive rate between three sputum tests and one sputum test （P〈0.05）, and the positive rates of liquid-based cytology test were higher than those of the traditional smear method （P〈0.05）. Conclusion The positive rate of liquid-based cytology test in the diagnosis of lung cancer is higher than that of the traditional smear method. It can provide a reliable basis for the diagnosis and treatment of lung cancer, and lay a solid foundation for the improvement of the quality of life for patients with lung cancer.

关 键 词：痰液基薄层细胞学技术 传统涂片 肺癌 

分 类 号：R734.2[医药卫生—肿瘤]