| 经纤维支气管镜支气管黏膜下针吸活检在肺癌早期诊断中的意义 |
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| 引用本文： | 金发光,刘同刚,谢永宏,楚东岭,傅恩清,刘春丽.经纤维支气管镜支气管黏膜下针吸活检在肺癌早期诊断中的意义[J].中国呼吸与危重监护杂志,2004,3(4):233-234. |
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| 作者姓名： | 金发光 刘同刚 谢永宏 楚东岭 傅恩清 刘春丽 |
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| 作者单位： | 第四军医大学唐都医院呼吸内科,陕西西安,710038 |
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| 摘 要： | 目的 探讨经纤维支气管镜 (纤支镜 )支气管黏膜下针吸活检 (TBNA)在肺癌早期诊断中的价值。方法 对 12 6例肺部块影而纤支镜下未见新生物的患者进行可疑病变局部TBNA检查 ,同时进行局部黏膜表面钳取活检并刷检。结果 12 6例患者TBNA对肺癌的诊断符合率为78 6 % (6 6 / 84 ) ,刷检阳性率为 36 9% (31/ 84 ) ,钳取活检阳性率为 14 3% (12 / 84 )。 89例 (70 6 % )患者穿刺部位有少量出血 ,余患者均无其它严重并发症发生。结论 对支气管黏膜下进行TBNA是肺癌早期诊断的有效方法 ,且操作简便、安全、阳性率高 ,值得临床推广应用
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| 关 键 词： | 支气管镜检查 针吸活检 肺癌 |
| 修稿时间： | 2004年2月9日 |
Diagnostic significance of transbronchial needle aspiration in the early diagnosis of lung cancer |
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| Abstract: | Objective To evaluate the values of transbronchial needle aspiration (TBNA) in the bronchial submucosa in the early diagnosis of lung cancer.Methods TBNA biopsy was performed in suspected lesions in 126 cases of lung masses which had no endoscopically visible neoplasm meanwhile brushing and clipping were performed for cytological examination.Results The accuracy of diagnosis for lung cancer was 78.6% (66/84) by TBNA,36.9% (31/84) by brushing cytology,and 14.3% (12/84) by clipping cytology.Mild bleeding at the penestrated site was obverved in 89 patients (70.6%) without any severe complications.Conclusion TBNA is a safe,simply and effective method with high accuracy in the early diagnosis of lung cancer. |
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| Keywords: | Bronchoscopy Needle aspiration Lung cancer |
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