纤维支气管镜对肺部肿瘤的诊断价值分析

目的观察纤维支气管镜（简称纤支镜）采用不同取材方法对肺部肿瘤的诊断价值。方法对374例经纤支镜检查、病理及细胞学检查确诊为肺部肿瘤的患者,据取材方法分为3组：A组,钳夹活检＋刷检＋涂片＋灌洗＋薄层液基细胞学（TCT）;B组,刷检＋涂片＋灌洗＋薄层液基细胞学;C组,经纤支镜肺活检（TBLB）＋刷检＋涂片＋灌洗＋薄层液基细胞学。结果 A、B、C 3组肺肿瘤病理诊断阳性率分别为96.9%,94.6%和90.9%。结论根据肿瘤在肺内的情况,采用不同取材方法,能提高肺部肿瘤的诊断价值。

Evaluation of the Different Diagnostic Ways by Fiberoptic Bronchoscopy in Pulmonary Carcinoma

Objective To observe diagnosis effect of lung tumor with fiberoptic bronchoscopy when adopting different basedmethods.Methods The 374 patients diagnosed with lung tumor？ through fiberoptic bronchoscopy were divided into 3 groups according to different methods.Group A：biopsy clamps ＋ brush inspection＋lavage＋smear＋thin layer liquid base cytology（TCT）.Group B：brush inspection＋lavage＋smear＋thin layer liquid base cytology（TCT）.Group C：DR perspective aided biopsy clamps＋brush inspection＋lavage＋smear＋thin layer liquid base cytology（TCT）We analyzed the positive rate of diagnosis.Results The positive rate of the 3 groups were 96.9%,94.6%,90.9% respectively.Conclusion According to different lungs circumstance of the tumor,we can improve the diagnostic value of fiberoptic bronchoscopy？ by adopting different based method.