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疑似肺癌患者经纤支镜取材抗酸杆菌检查结果分析
引用本文:周友全,郭凤丽,李明发,杨丽,胡黎娅,贾相艳. 疑似肺癌患者经纤支镜取材抗酸杆菌检查结果分析[J]. 国际检验医学杂志, 2012, 33(6): 729-730
作者姓名:周友全  郭凤丽  李明发  杨丽  胡黎娅  贾相艳
作者单位:云南省肿瘤医院检验科,昆明,650118
摘    要:目的 探讨疑似肺癌患者经纤支镜取材抗酸杆菌检查的结果.方法 对2008~2010年3 389例经纤支镜不同方式取材抗酸杆菌检查的结果 进行回顾性分析.结果 抗酸杆菌总阳性率为6.3%(215/3 389);阳性标本中,刷片占56.7%(122/215),灌洗液占88.4%(190/215),两者比较差异有统计学意义(P<0.05).结论 经纤支镜灌洗液取材可提高对抗酸杆菌的检出率,有助于肺癌和肺结核的鉴别诊断.联合采用纤支镜刷片和灌洗液取材,可进一步提高抗酸杆菌检出率.

关 键 词:疑似肺肿瘤  纤维支气管镜  抗酸杆菌

Analysis of acid-fast bacilli examination in suspected patient with lung cancer by fibre bronchoscope
Zhou Youquan , Guo Fengli , Li Mingfa , Yang Li , Hu Liya , Jia Xiangyan. Analysis of acid-fast bacilli examination in suspected patient with lung cancer by fibre bronchoscope[J]. International Journal of Laboratory Medicine, 2012, 33(6): 729-730
Authors:Zhou Youquan    Guo Fengli    Li Mingfa    Yang Li    Hu Liya    Jia Xiangyan
Affiliation:(Department of Laboratory Medicine,Yun’nan Tumor Hospital,Kunming Yun’nan 650118,China)
Abstract:Objective To investigate the result of acid-fast bacilli examination in suspected patients with lung cancer by fibre bronchoscope.Methods Results of acid-fast bacilli examination by fibre bronchoscope in 3 389 suspected patients with lung cancer during 2008 and 2010 were retrospectively analyzed.Results The total positive rate of acid-fast bacilli was 6.3%(215/3 389).In positive specimens,56.7%(122/215) were brush smear and 88.4%(190/215) were lavage fluid,between which there was significant difference(P<0.05).Conclusion Lavage fluid collected by fibre bronchoscope could enhance the detection rate of acid-fast bacilli,being helpful for the differential diagnosis of lung cancer and pulmonary tuberculosis.Combined usage of brush smear and lavage fluid could further enhance the detection rate.
Keywords:suspected lung neoplasms  fibre bronchoscope  acid-fast bacilli
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