摘要
目的探讨纤维支气管镜检查对肺癌的诊断价值。方法对180例临床疑诊的肺癌患者,行常规纤维支气管镜检查,采用钳检、刷检及支气管肺泡灌洗技术,以确定诊断率和病理类型。结果 180例肺癌经纤维支气管镜检查后病理确诊160例,其中中央型肺癌127例,周围型肺癌33例。20例纤维支气管镜病检假阴性,其中中央型肺癌5例,周围型肺癌15例,最后通过手术、脱落细胞检查、院外活检等方式确诊。本组鳞癌占50%,腺癌占27.22%,小细胞癌占17.22%,其它类型占5.56%。结论联合采用钳检、刷检及纤维支气管镜检查对肺癌患者的诊断具有重要价值,与单一方法取材比较差异有显著性(P<0.05)。肺泡灌洗技术可提高镜检阳性率,为临床治疗提供可靠依据。
Objective To evaluate the value of fiberoptic bronchoscopy in diagnosing lung cancer.Methods 180 patients of lung cancer underwent conventional bronchoscopy to confirm diagnosis and pathological type by forceps biopsy,brush biopsy and bronchoalveolar lavage techniques.Results 160 patients were diagnosed with lung cancer by pathological examination,in which 127 cases were central lung cancer and 33 cases were peripheral lung cancer.20 patients whose pathological examination was false-negative were finally diagnosed by the surgery,cytology or biopsy in other hospital,in which 5 cases were central lung cancer and 15 cases were peripheral lung cancer.The percentage of Squamous cell carcinoma was 50%,adenocarcinoma was 27.22%,Small cell carcinoma was 17.22%,other types was 5.56%.Conclusion Fiberoptic bronchoscopy is a valuable methed in diagnosing lung cancer,and the biopsy approach combined with forceps biopsy,brush biopsy and bronchoalveolar lavage techniques was significant different than the single biopsy method（P0.05）.It can improve the positive rate of pathological examination,and provide the basis for clinical treatment.
出处
《西部医学》
2012年第3期555-556,共2页
Medical Journal of West China
关键词
纤维支气管镜
肺癌
联合取材
病理检查
Bronchoscopy
lung cancer
Combined biopsy method
pathological examination
