纤支镜刷检细胞学和病理活检对肺癌诊断的意义分析

Significance of Brushing Cytology and Pathological Biopsy with Fiberoptic Bronchoscope in the Diagnosis of Lung Cancer

目的分析纤支镜刷检细胞学和病理活检对肺癌诊断的意义。方法选取我院于2014年1月至2018年12月收治的肺癌患者50例,对其使用纤支镜刷检细胞学与病理活检,观察两组患者的诊断情况。结果对比两种检验方式检查结果可知,在单一使用纤支镜刷检细胞学与病理活检时,其检验出癌症的几率相差无几,c2=0.357,P=0.550,差异不具有统计学意义(P>0.05)。但两种方式结合使用时,可有效增加癌症检验正确率,并且与单一使用时差异明显,c2=15.790、11.655,P=0.001、0.001,具有统计学意义(P<0.05)。结论在对肺癌患者进行检验时,纤支镜刷检与病理活检联合使用可有效提升检验正确率,值得临床推广应用。

Objective To analyse the significance of fibrobronchoscopic brushing cytology and pathological biopsy in the diagnosis of lung cancer.Methods Fifty patients with lung cancer admitted to our hospital from January 2014 to December 2018 were selected.Cytological and pathological biopsy were performed with fiberoptic bronchoscope to observe the diagnosis of the two groups.Results Comparing the results of the two methods,we can see that there is no significant difference in the probability of cancer detection between cytology and pathological biopsy with fiberoptic bronchoscope brushing alone,c2=0.357,P=0.550,the difference is not statistically significant(P>0.05).However,the combination of the two methods can effectively increase the accuracy of cancer testing,and there is a significant difference compared with the single use,respectively,c2=15.790,11.655,P=0.001,0.001.There was statistical significance(P<0.05).Conclusion The combination of fiberoptic bronchoscope brushing and pathological biopsy can effectively improve the accuracy of lung cancer detection,which is worthy of clinical application.