纤维支气管镜刷检和/或活检确诊肺癌病人194例分析

The analysis of 194 cases of pulmonary carcinoma via fibrobronchoscope brush biopsy and (or) protractor biopsy sampling

目的 探讨纤维支气管镜(纤支镜)刷检、活检和痰检对肺癌的诊断价值。方法 对1 94例肺癌病人的检查结果进行回顾性分析。结果 1 94例肺癌病人,刷检、活检共同确诊1 2 1例,仅由活检确诊33例,仅由刷检确诊40例。纤支镜术后痰检阳性53例,提高阳性率2 1 .7% (2 0 / 92 )。结论 应用纤支镜刷检、活检和痰检等多种手段,可提高肺癌诊断率。

Objective To study the diagnostic value of pulmonary carcinoma via fibrobronchoscope brush biopsy, protractor biopsy and sputum cytology.Methods The results of pulmonary carcinoma patients were retrospectively analyzed. Results In 194 cases with pulmonary carcinoma, 121 had both brush biopsy and protractor biopsy being positive, 33 cases had only protractor biopsy being positive, and 40 cases had only brush biopsy being positive. Sputum cytology was positive in 53 cases postoperatively and 21.7% had improved positive rate (20/92).Conclusion Allied pathologic sampling via fibrobronchoscope can increase positive rate of pulmonary carcinoma.