电子支气管镜下联合取材病理诊断肺癌120例分析

Analysis of 120 cases of electronic bronchoscopy combined pathological diagnosis of lung cancer

目的探讨电子支气管镜在肺癌诊断中的作用。方法对我院收治的120例肺癌患者行电子支气管镜检查,通过电子支气管镜活检、刷检、术后痰涂片行细胞学检查或病理进行分析。结果病变部位以左肺上叶多见,其次为右肺上叶,左肺下叶、右肺下叶次之。确诊的多为中央型肺癌,肺癌病理类型以鳞癌为主,其次为腺癌,小细胞癌最少。结论经电子支气管镜下联合取材病理诊断肺癌中央型肺癌居多,鳞癌比例最高;肺癌病变部位好发于左右肺上叶;电子支气管镜下联合取材病理诊断肺癌,对提高肺癌诊断率有一定的帮助。

Objective To explore the usefulness of electronic bronchoscope in the diagnosis of lung cancer.Methods Analysis of 120 patients with lung cancer who were treated with electronic biopsy,brush biopsy and postoperative sputum smear cytology.Results The left upper lobe lesions more common,followed by the right upper lobe,the last was the lower lobe in the right and left lung.Confirmed cases of lung cancer were mostly central lung cancer.The main pathological type of lung cancer was squamous carcinoma followed by adenocarcinoma and the last was small cell carcinoma.Conclusions Central lung cancer was the majority of lung cancer through pathological diagnosis and electronic bronchoscopy.Squamous carcinoma was the highest proportion.Lung cancer mostly occurred in the upper lobe of the left and right lung.Electronic bronchoscopy combined pathology could help improve the diagnostic rate of lung cancer.