经纤维支气管镜不同取材方法对肺肿瘤诊断价值的分析

目的 观察纤维支气管镜（简称纤支镜）不同取材方法对肺肿瘤的诊断价值。方法 对278例经纤支镜检查病理及细胞学确诊为肺肿瘤的患者，根据其取材方法不同分为单纯钳夹活检、单纯刷检、钳夹活检加刷检、针吸活检、针吸活检加刷检、经纤支镜肺活检（TBLB）、经纤支镜肺活检加“盲刷”、经纤支镜检查前后痰细胞学涂片，对其诊断肺肿瘤的阳性率进行分析。结果 按上述方法所列顺序，其阳性率分别为78．30％、52．08％、93．02％、32．00％、62．86％、30．77％、65．52％、19.06％和56．12％。结论 根据肺肿瘤情况不同，采取不同取材方法，对肺肿瘤均有很高的诊断价值。联合不同取材方法比用单一取材方法诊断肺肿瘤的阳性率高。

Evaluation of diagnostic value of pulmonary carcinoma by fibrobronchoscope getting specimen in different way

Objective] To evaluate diagnostic value of pulmonary carcinoma by fiber-bronchoscope getting specimen in different way. Methods] Analyze the positive rate of 278 cases of pulmonary carcinoma diagnosed by fiber-bronchoscope pathology and cytology according to their specimen which are divided into simple protractor biopsy, brush biopsy, protractor biopsy and brush one, aspiration biopsy and brush one, fiber-bronchoscope pulmonary carcinoma (FBPC), FBPC and blind brush biopsy, and expectoration cytology examination. Results] Based on the above-mentioned order, their positive rate was respectively at 78.30%, 52.08%, 93.02%, 32.00%, 62.86%, 30.77%, 65.52%, 19.06% and 56.12%. Conclusion] It has a higher diagnostic value for pulmonary carcinoma to get specimen in different way according to the conditionally different pulmonary carcinoma. Combining different methods to get specimen is higher than simple way to get specimen in diagnosing positive rate of pulmonary carcinoma.