摘要
本文分析纤支镜检查5190例,发现肺癌2461例,占检查数的47.42％;其中由纤支镜获组织学或(和)细胞学证据者2017例,占81.96％,单由活检证实578例,刷检402例.活检和刷检同时证实者1037例.同时进行活检和刷检1759例,其中活检阳性率84.59％,刷检阳性率74.36％,两者相比有非常显著差异(P<0.01).鳞癌1039例,小细胞未分化癌283例,腺癌247例,肺泡细胞癌6例,未定型476例,其他类型癌3例,临床诊断407例.本文重点讨论了如何提高纤支镜活检和刷检阳性率有关问题。
Fiberbronchoscopy was employed in 5190 cases, in wbich lung cancer was found in
2461, accouunting for 47.42%. Histological and/or cytological diagnosis was established in 2017 with fiberbronchoscopy, the positive being present in 81. 96% (2017/2461). The diagnosis was confirmed in 578 by biopsy alone,402 by brushing and 1037 by biopsybrusbing. The combination of biopsy and brushing in 1759 cases demonstrated that the positive rate of biopsy was 84. 59%
(1488/1759),while the brushing 74. 36%. The significant difference was obtained statistically(P
<0. 01). In 2461. patients, squamous cell carcinoma accounted for 1039 cases, undifferentiated
small cell carcinoma for 283. adenocarcinoma for 247, undetermined cell type for 476, pth,er types
of carcinoma for 3 and there were other 407 cases diagnosed clinically.
出处
《蚌埠医学院学报》
CAS
1993年第3期166-169,共4页
Journal of Bengbu Medical College
关键词
支气管镜检
肺肿瘤
临床分析
fiberbronchoscppy
biopsy
brushing
lung neoplasm
