纤维支气管镜检取材与细胞学涂片阳性率分析  

Analysis of different specimen from fibro- bronchoscopy for cytology diagnostic value.

作　　者：陈小玲[1] 梅同华[1] 张和生[1] 

机构地区：[1]重庆医科大学第二临床学院,重庆400010

出　　处：《现代医药卫生》2003年第6期667-668,共2页Journal of Modern Medicine & Health

摘　　要：目的:观察纤维支气管镜(纤支镜)取材对肺癌的诊断价值。方法:对365例肺癌患者经纤支镜直视病灶采用抽吸、刷检、抽吸加钳夹、刷检加钳夹的活检进行分析。结果:支气管内新生物型、浸润型刷检阳性率分别是72.8％、42％,刷检加钳夹阳性率分别可达86.7％、66.7％。管腔内膜粗糙型抽吸、抽吸加钳夹阳性率分别为77.9％、88.0％。结论:根据肺部肿瘤生长不同部位,用不同取材方法可提高对肺癌诊断的阳性率。Objective: To evaluate the different specimen from fibro- bronchoscopy for cytology diagnostic value of lung cancer. Methods: 365 cases of lung cancer cytological diagnosis were analysed. The specimen was laken from fibro - bronchoscopy, such as attraction, brush, attraction plus clipping and brush plus clipping. Results: Among endobronchial neoplasm type group and endobronchial infillration type group, the positive rates of carcinoma cell were 72.8 and 42. l percent respec-tively in brush specimen. The positive rates of carcinoma celi were 86.7 and 66.7 perent respectively in brush plus clipping specimen. Among endo- menbrane rough type group, the positive rates of carcinoma cell were 77.9 and 88.0 percent respec-lively in attraction and attraction plus clipping specimen. Conclusion: Adopted different method to take specimen according to the different location and form of tumor growing, it can increase the carcinoma cell positive rates for lung cancer diagnosis.

关 键 词：肺癌 纤维支气管镜检 取材 细胞学涂片 阳性率 诊断 

分 类 号：R734.2[医药卫生—肿瘤] R730.43[医药卫生—临床医学]