不同取材方法对病理诊断肺癌的价值回顾性分析

Retrospective analysis of pauhology diagnosis of pulmonary cancer using different material selections.

目的探讨不同取材方法对病理确诊肺癌的诊断价值。方法回顾性分析我科在2002-2006年8月间病理确诊为肺癌的临床资料。根据肺癌时取材方法不同进行分类统计和分析。取材方法分为胸膜活检法、胸水查脱落细胞、CT引导下经皮肺穿刺法、经纤维支气管镜（简称纤支镜）单纯钳夹活检、单纯刷检、钳夹活检加刷检、针吸活检、针吸活检加刷检、纤支镜肺活检（TBLB）、TBLB加“盲刷”、经纤支镜检查前后痰细胞学涂片。对其诊断肺癌的阳性率进行分析。结果按上述方法中所列顺序，其阳性率分别为35．71％、69．05％、100％、78．3％、52．08％、93．02％、32％、62．86％、30．77％、65．52％、19．06％、56．12％。结论根据肺癌情况不同，采取不同取材方法，对肺癌均有很高的诊断价值。联合不同取材方法比用单一取材方法诊断肺癌的阳性率高。

To explore the ways of different material selections that are related to the pathology diagnostic value of pulmonary cancer. Methods Clinical data of diagnosing lung cancer by pathology were collected and evaluated for the patients between August of 2002 and August of 2006 in our hospital. The data were classified based on the ways of specimen＇s selection and thus collection, including simple protractor biopsy, rush biopsy, protractor biopsy and brush one, aspiration biopsy and brush one, fiber-bronchoscope lung biopsy （TBLB）, TBLB and blind brush biopsy, and expectoration cytology examination. Results The positive rates were, respec- tively, based on the order mentioned above, 35.71% , 69.5%, 100%, 78. 30%, 52.08%, 93.02% , 32% , 62. 86%, 30.77% , 65.52%, 19.06% and 56. 12%. Conclusion Using variety of ways of selecting specimen has a high diagnostic value in diagnosing pulmonary cancer. It is thus recommended to using different ways rather than a simple way of collecting specimen in the diagnosis of lung cancer by pathology.