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应用液基细胞技术在肺癌细胞诊断中的意义
引用本文:蔡志明,刘建南,吴琪茵. 应用液基细胞技术在肺癌细胞诊断中的意义[J]. 临床肺科杂志, 2014, 0(7): 1308-1309
作者姓名:蔡志明  刘建南  吴琪茵
作者单位:蔡志明 (福建医科大学附属漳州市医院呼吸内科, 福建 漳州,363000); 刘建南 (福建医科大学附属漳州市医院呼吸内科, 福建 漳州,363000); 吴琪茵 (福建医科大学附属漳州市医院呼吸内科, 福建 漳州,363000);
摘    要:目的探讨对支气管镜毛刷标本进行液基薄层细胞学制片技术(LCT)在肺癌细胞诊断中的应用价值。方法收集252例肺癌患者的支气管镜刷检标本,同时进行LCT和直接涂片法检测,比较两种方法的涂片质量及诊断的阳性率。结果 LCT检测的标本切片质量高,LCT诊断肺癌的敏感度为58.33%。直接涂片法诊断肺癌的敏感度为33.19%。LCT的敏感度高于直接涂片法(P0.05)。结论 LCT液基薄层细胞学制片技术在支气管镜刷检细胞学标本制片质量及诊断准确性明显高于传统涂片方法,支气管镜刷检标本的LCT检测可推广应用于临床。

关 键 词:肺癌  支气管镜刷检标本  LCT  传统涂片法

Clinical value of liquid-based cytology test in cytological screening of bronchial brushing for the diagnosis of lung cancer
CAI Zhi-ming,LIU Jian-nan,WU Qi-yin. Clinical value of liquid-based cytology test in cytological screening of bronchial brushing for the diagnosis of lung cancer[J]. Journal of Clinical Pulmonary Medicine, 2014, 0(7): 1308-1309
Authors:CAI Zhi-ming  LIU Jian-nan  WU Qi-yin
Affiliation:(Department of Respiratory Medicine, Zhangzhou Affiliated Hospital to Fujian Medical University, Zhangzhou, Fuiian 363000, China)
Abstract:Objective To explore the clinical value of liquid-based cytology test ( LCT ) in cytological screening of bronchial brushing for the diagnosis of lung cancer. Methods The bronchial brushing specimens of 252 patients who were diagnosed as lung cancer were collected. The diagnostic sensitivity and cytological findings of LCT were compared with those of conventional smear ( CS) method for diagnosing lung cancer. Results LCT slides showed decreased areas of cell monolayers. LCT had a significantly higher diagnostic sensitivity for lung cancer (58. 33%) than CS method did (33. 19%, P〈0. 05). Conclusion LCT in cytological screening of bronchial brushing has higher diagnostic value of lung cancer and it can be easily performed.
Keywords:lung cancer  bronchial brushing  liquid-based cytology test  conventional smear
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