纤维支气管镜不同病理活检取材方法对肺癌的诊断价值分析

Analysis of pathology diagnosis of lung cancer using different materials methods with fibrobronchoscope

目的:探讨纤维支气管镜(简称纤支镜)的不同病理活检取材方法对确诊肺癌的诊断价值。方法:回顾性分析83例肺癌患者纤维支气管镜检查结果,比较分析钳检/TBLB、刷检、针吸活检(TBNA)和冲洗等方法诊断肺癌的阳性率。结果:钳检、刷检、冲洗、TBNA阳性率分别是86.3%、56.1%、41.0%、9.1%,联合以上三种取材方法阳性率为92.5%。结论:联合应用纤维支气管镜多种取材方法可提高肺癌的检出率。

Objective To exploer the diagnosis value of different drawing materials methods with fibrobronchoscope in lung cancer Methods Clinical date of eighty- three lung cancer inpatients examined by fibrobronchoscope during 2009 ～ 2012 in our hospital were analyzed retrospectively. Four different drawing materials method including clamping /TBLB,brushing,needling and rinse check were used to diagnose. Results The positive rates of protractor biopsy,brush biopsy,rinse and needling check,were,respectively,86. 3% 、56. 1% 、41. 0% 、9. 1%. The positive rates using the above- mentioned three methods combined was 92. 5%. Conclusion The positive rate of diagnosing lung cancer can be improved if a combined sample- selection method with fibrobron choscope is used.