经纤维支气管镜不同取材方式对科尔沁区肺癌患者诊断价值的探讨

Discussion on the Value of Different Drawing Materials Methods through Fiber Bronchoscope in the Diagnosis of Lung Cancer Patients in Horqin District

目的:对比纤维支气管镜不同取材方式对肺癌诊断价值进行评价分析.方法:随机抽取在2009年10月-2012年6月间我院收治的150例肺癌患者病例作为研究对象,将其按照肿瘤类型分成中央型肺癌组和周围型肺癌组,在行纤维支气管镜检查时分别采取钳夹、刷检、灌洗等单一取材方法和联合取材方法,而后对比分析各取材方法的检测结果.结果:统计发现,两组患者中单一取材法以钳夹法的检测阳性率最高(P<0.05);且各单一取材方法的检测阳性率均明显低于联合取材法(P<0.05).结论:在采取纤维支气管镜对肺癌患者进行诊断的过程中,采取多种取材方法联合的方式能够有效提高诊断准确性和检出率.

Objective： To evaluate the diagnostic value of different drawing materials ways by fiber bronchoscope in lung cancer through contrast and analysis. Methods： 150 lung cancer patients in our hospital from October 2009 to June 2012 were randomly selected as research object, according to the tumor type, they were divided into central lung cancer group and peripheral lung cancer group. In the process of fiberoptic bronchoseopy, single drawing materials methods such as forceps biopsy, brush biopsy, douche and combination drawing materials methods were adopted re- spectively, and the test results of different drawing materials methods were compared and analyzed. Results： Statistics shown that the highest positive rate in the single drawing materials methods was forceps biopsy （P〈0.05）; and the posi- tive rate in all single drawing materials method were significantly lower than the combination drawing materials meth-ods （P〈0.05）. Conclusion： In the process of diagnosis of lung cancer patients by fiberoptic bronchoscopy, adopting the combination of variety drawing materials methods can effectively improve the diagnostic accuracy and detection rate.