摘要
目的分析经支气管镜检查联合针吸活检术用于临床诊断肺癌中的应用价值。方法回顾性分析2021年3月-2022年3月在本院接受支气管镜检查75例疑似肺癌患者的临床资料,对支气管镜下钳检、刷检、经支气管针吸活检以及联合检查的阳性率进行统计,对比上述几种取材方法在诊断肺癌时的阳性率。结果①经支气管镜检查确诊为肺癌的患者有62例(82.67%),病理类型分布:鳞癌22例(35.48%)、腺癌18例(29.03%)、小细胞癌16例(25.81%)、不明类型肺癌6例(9.68%);②支气管镜下钳检阳性率为70.83%,刷检阳性率为47.30%、钳检+刷检为72.92%、针吸活检阳性率为53.66%、钳检+刷检+针吸活检阳性率为84.21%,三者联合取材诊断的阳性率明显高于单一或是两种联合取材诊断的阳性率(P<0.05);③所有患者耐受性均良好,镜下偶见穿刺点出血,出血量极低,经冲洗、吸引后出血均自行停止,穿刺后所有患者均未出现气胸、大出血或纵隔感染等并发症。结论经支气管镜检查联合针吸活检术用于诊断肺癌具有较高的应用价值,且安全性较好,临床需根据患者实际情况采取不同的联合检查方法以提高诊断阳性率。
Objective To analyze the application value of transbronchoscopy combined with needle aspiration biopsy in the clinical diagnosis of lung cancer.Methods The clinical data of 75 patients with suspected lung cancer who underwent bronchoscopy in our hospital from March 2021 to March 2022 were retrospectively analyzed.The positive rates of bronchoscopy forceps examination,brush examination,transbronchial needle aspiration biopsy and combined examination were statistically analyzed,and the positive rates of the above sampling methods in the diagnosis of lung cancer were compared.Results①62 cases(82.67%)were diagnosed as lung cancer by bronchoscopy,and the pathological types were as follows:22 cases(35.48%)of squamous cell carcinoma,18 cases(29.03%)of adenocarcinoma,16 cases(25.81%)of small cell carcinoma,and 6 cases(9.68%)of unknown type lung cancer.②The positive rate of bronchoscopy forceps was 70.83%,brush detection was 47.30%,forceps+brush detection was 72.92%,needle aspiration biopsy was 53.66%,and forceps+brush detection+needle aspiration biopsy was 84.21%.The positive rate of the three samples combined was significantly higher than that of single or two samples combined(P<0.05).③All patients were well tolerated.Bleeding at the puncture site was occasionally observed under the microscope,and the amount of bleeding was very low.The bleeding stopped spontaneously after irrigation and suction.Conclusion Transbronchoscopy combined with needle aspiration biopsy has high application value and good safety in the diagnosis of lung cancer.Different combined examination methods should be adopted according to the actual situation of patients to improve the positive rate o f diagnosis.
作者
邱洪亮
QIU Hongliang(Department of Respiratory Medicine,Songyuan Central Hospital,Songyuan,Jilin 138000)
出处
《智慧健康》
2023年第15期5-8,共4页
Smart Healthcare
关键词
纤维支气管镜检查
针吸活检术
肺癌
病理分型
Fiberoptic bronchoscopy
Needle aspiration biopsy
Lung cancer
Pathological classification
