细胞学涂片与病理组织学方法在原发性支气管肺癌诊断中的对比观察  

The comparative observation of cytological smear and histopathological methods in the diagnosis of primary bronchial lung cancer

作　　者：杨海燕 刘利 周春花[1] 杨农[1] Yang Haiyan;Liu Li;Zhou Chunhua;Yang Nong(Hunan province tumor hospital pulmonary gastrointestinal medicine,Changsha,Hunan,410000,China)

机构地区：[1]湖南省肿瘤医院肺胃肠内科,湖南长沙410000

出　　处：《当代医学》2018年第12期85-87,共3页Contemporary Medicine

摘　　要：目的对比观察淋巴结穿刺、肺穿刺、支气管镜及E-BUS细胞学涂片与相应病理组织学检查在原发性支气管肺癌诊断中的作用。方法收集本院自2014年8月~2016年4月共456例淋巴结活检、肺穿刺、支气管镜或E-BUS病理组织学标本及对应细胞学涂片,分析了细胞学涂片的阳性率及病理分型符合率,评估了细胞学涂片在原发性支气管肺癌诊断中的价值。结果淋巴结穿刺、肺穿刺、支气管镜、E-BUS细胞学涂片阳性率分别为:100.0%、91.0%、57.9%及70.8%,总阳性率为92.8%;与组织学病理分型符合率分别为37.9%、46.3%、35.6%和28.3%,总体符合率为36.3%。按病理类型来区分,鳞癌、腺癌和小细胞肺癌的符合率分别为64.2%、20.4%和45.8%。结论淋巴结穿刺、肺穿刺、支气管镜及E-BUS方法所获取的细胞学涂片阳性率较高,但是与病理组织学的符合率有待于进一步提高。Objective To observe the role of lymph node puncture,lung puncture,bronchoscopy,e-bus cytology and corresponding histologic examination in diagnosis of primary bronchogenic carcinoma.Methods Collected from August 2014 to April 2016,a total of 456 cases of lymph node biopsies,lung puncture,bronchoscopy,or E-BUS histological specimens and the corresponding cytological smear were included.The positive rate of cytological smear and the pathological coincidence rate of cytological smear with histological specimens were analyzed,at the same time,the value of cytological smear in the diagnosis of primary bronchial lung cancer was evaluate.Results The positive rates of lymph node puncture,lung puncture,bronchoscope and e-bus cytology were 100.0%,91.0%,57.9%and 70.8%respectively,and the total positive rates was 92.8%.The pathological coincidence rate of cytology with histology was 37.9%,46.3%,35.6%and 28.3%,respectively,the total coincidence rate was 36.3%.From the aspects of pathological types,the coincidence rate of squamous cell carcinoma,adenocarcinoma and small-cell lung cancer was 64.2%,20.4%and 45.8%respectively.Conclusion The positive rate of cytological smear obtained by lymph node puncture,lung puncture,bronchoscope and ebus method is higher,but the coincidence rate of cytology with histology needs to be improved.

关 键 词：细胞学涂片 病理组织学 原发性支气管肺癌 

分 类 号：R734.2[医药卫生—肿瘤]