纤支镜刷片病理细胞学和活检病理组织学诊断在肺癌诊断中的临床意义  

Clinical significance of pathological cytology of fiberoptic bronchoscopy brush and biopsy histopathology in diagnosis of lung cancer

作　　者：张银 

机构地区：[1]云南省红河州第三人民医院病理科,661000

出　　处：《中国社区医师》2018年第3期103-103,105,共2页Chinese Community Doctors

摘　　要：目的:探讨纤支镜刷片病理细胞学和纤支镜活检组织学诊断在肺癌诊断中的价值。方法:用普通显微镜观察465例临床诊断肺癌病例,进行病理组织学诊断和病理细胞学诊断,并对比、分析。结果:465例肺癌中,纤支镜活检组织病理学诊断中,能分型176例,未分型6例,阳性182例,阴性250例;纤支镜刷片细胞学诊断中,能分型155例,未分型4例,阳性189例,阴性232例。纤支镜活检组织学和刷片细胞学诊断比较,在肺癌分型时差异有统计学意义(P<0.05),肺癌阳性率和阴性率差异无统计学意义(P>0.05)。结论:在肺癌的病理诊断中,纤支镜刷片病理细胞学和纤支镜活检病理组织学诊断,二者要密切结合,相互补充,以利于肺癌的病理诊断,指导临床治疗。Objective:To explore the clinical value of pathological cytology of fiberoptic bronchoscopy brush and biopsy histopathology in diagnosis of lung cancer.Methods:We observed 465 cases of lung cancer with ordinary microscope,and made histopathological diagnosis and pathological diagnosis,and compared and analyzed the data.Results:In the 465 cases of lung cancer,in biopsy histopathology of fiberoptic bronchoscopy,176 cases could be classified,and 6 cases could not be classified;182 cases were positive,and 250 cases were negative.In pathological cytology of fiberoptic bronchoscopy brush,155 cases could be classified,and 4 cases could not be classified;189 cases were positive,and 232 cases were negative.Compared biopsy histopathology of fiberoptic bronchoscopy with brushing cytology,there was significant difference in lung cancer typing(P<0.05),and there was no significant difference in the positive rate and negative rate of lung cancer(P>0.05).Conclusion:In the pathological diagnosis of lung cancer,we should use pathological cytology of fiberoptic bronchoscopy brush and biopsy histopathology together,which was conducive to the pathological diagnosis of lung cancer and it can guide the clinical treatment.

关 键 词：纤支镜 肺癌 刷片病理细胞学 活检病理组织学 

分 类 号：R734.2[医药卫生—肿瘤]