纤支镜、肺刷TCT联检诊断肺癌82例分析

Analyses with 82 cases of lung carcinoma definitely diagnosed by fiberoptic bronchoscope-lung-brush′s examination combined with thin-prep cytology test

目的探讨纤支镜、肺刷TCT联检确诊肺癌的临床诊断价值。方法回顾性统计2003年5月～2007年11月间临床疑诊肺癌101例经纤支镜、肺刷TCT联检确诊肺癌82例的应用价值。结果101例临床疑诊肺癌病例82例获得确诊,确诊率占81.2%(82/101),高于传统肺刷涂/抹片的诊断率。结论TCT诊断对肺癌的分型较为困难。纤支镜及肺刷TCT联检技术在临床中的合理应用有赖临床医师及细胞病理医师间的相互沟通。

Objective To explore the diagnostic value of fibero-ptic bronchoscope-lung-brush＇s examination on definitely diagnosing lung carcinoma combined with thin-prep cytology test （TCT） in clinic. Methods The study included retrospectively-reviewed 82 cases of lung carcinoma who were diagnosed and confirmed by fiberoptic bronchoscope-lung-brush＇s examination combined with TCT. The 82 cases were selected among 101 cases of suspected lung carcinoma between MAY 2003 to November 2007. The pathologic characteristic and TCT practical values were analyzed in the study. Results 82 out of 101 cases of doubtful lung carcinoma had definite diagnosis, with diagnostic ratio being 81.2% ,which was higher than the traditional lung - brush （daub） method. Conclusion Acquiring satisfaction sample is a prerequisite for the correct diagnosis, but it is difficult to define subtypes of lung carcinoma with TCT diagnosis. The techniques of fiber optic bruchoscope＇s examination combined with lung-brush-TCT can be utilized,which rely on inter - communication of clinician and pathologist.