纤维支气管镜对小细胞肺癌的诊断效果

Diagnostic value of fiberoptic bronchoscope on small cell lung cancer

目的：探讨纤维支气管镜对小细胞肺癌的诊断效果。方法选择2012年1月至2014年12月经手术病理检查确诊的小细胞肺癌患者182例，分析其术前纤维支气管镜及 CT 影像学表现，及纤维支气管镜术前检查诊断符合率。结果 CT 影像学表现为肺门团块影81例，纵隔淋巴结增大25例。纤维支气管镜下表现为主支气管病变7例，左侧病变70例（38.5%），右侧病变105例（57.7%）。纤维支气管镜钳检诊断符合率为99.3%（135/136），刷检诊断符合率为48.6%（86/177）。结论纤维支气管镜下多种取材方式相结合，可提高小细胞肺癌诊断符合率。

Objective To investigate the diagnostic value of fiberoptic bronchoscope on small cell lung cancer. Methods From January 2012 to December 2014,182 patients with small cell lung cancer were confirmed by histopathology,the preoperative fiberoptic bronchoscopy and CT images and diagnose accordance rate were analyzed. Results CT imaging showed,there were 81 cases of lung le-sions,25 cases of mediastinal lymph nodes increase. Fiberoptic bronchoscopy showed：main bronchial disease in 7 cases,performance on the left side of the lesions in 70 cases（38. 5% ）,the right side of the lesions was 105 cases（57. 7% ）. Fiberoptic bronchoscopy clamp inspection diagnosis coincidence rate was 99. 3% （135 / 136）,brush inspection diagnosis coincidence rate was 48. 6% （86 / 177）. Conclusions Combining different methods to get specimen can improve the diagnosing positive rate of small cell lung cancer.