电子支气管镜对肺癌的诊断价值研究  

Diagnostic value of electronic bronchoscopy for lung cancer

作　　者：郭超文 黎艳聪[1] 张杰斯 GUO Chaowen;LI Yancong;ZHANG Jiesi(Xiaolan People＇s Hospital of Zhongshan,Zhongshan 528415,China)

机构地区：[1]广东省中山市小榄人民医院,广东中山528415

出　　处：《中国医药科学》2018年第19期154-156,共3页China Medicine And Pharmacy

摘　　要：目的探究临床肺癌采取电子支气管镜诊断的效果及意义。方法收集2017年1月～2018年1月期间400例疑似肺癌患者作为研究对象,为其进行电子支气管镜检查。记录本组患者肺癌确诊率、肺癌分型及病变部位。结果 400例疑似肺癌患者经过电子支气管镜检查确诊肺癌患者32例,诊断率为8.00%;其中包括腺癌患者16例,鳞癌患者9例以及小细胞癌患者7例。根据电子支气管镜下表现,可将肺癌患者分为新生物型13例,炎症型4例以及浸润型15例,病变部位主要包括左肺、右肺及气管。同时钳检肺癌准确率93.75%(30/32),刷检肺癌准确率75.00%(24/32),镜下钳检诊断准确率显著高于刷检,数据差异有统计学意义(P <0.05)。结论电子支气管镜对肺癌的诊断准确率较高,还可有效提示肺癌的病理分型,因此该种诊断方式值得在临床中进行推广和普及。Objective To explore the effect and significance of electronic bronehoseopy in clinical lung cancer. Methods Four hundred patients with suspected lung cancer from January 2017 to January 2018 were collected as subjects, they were given electronic bronehoseopy. Recorded the diagnosis rate, lung cancer type and lesion location of this group. Results Four hundred patients with suspected lung cancer underwent electronic bronehoseopy and 32 patients were diagnosed with lung cancer, the diagnosis rate was 8.00%, among them, 16 patients with adenoeareinoma, 9 patients with squamous cell carcinoma and 7 patients with small cell carcinoma. According to the performance of electronic bronehoseopy, lung cancer patients could be divided into 13 new biotypes, 4 eases of inflammation and 15 eases of infiltration. The lesions mainly included the left lung, the right lung, and the trachea. The forceps inspection accuracy rate of lung cancer was 93.75%（30/32）, and the brush inspection accuracy rate was 75.00%（24/32）. The diagnostic accuracy of microscopic forceps inspection was significantly higher than that of brush examination. The data difference was statistically signifieant（P 〈 0.05）. Conclusion Electronic bronehoseopy has a high diagnostic accuracy for lung cancer, and can also effectively indicate the pathological type of lung cancer. Therefore, this type of diagnosis is worthy of promotion and popularization in clinic.

关 键 词：电子支气管镜 肺癌 肺组织活检 诊断价值 

分 类 号：R734.2[医药卫生—肿瘤] R445[医药卫生—临床医学]