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目的 :探讨经纤支镜针吸术对肺癌的诊断价值。方法 :2 7例拟诊肺癌病人采用经纤支镜针吸术、钳检、刷检、冲洗。结果 :2 7例中确诊为肺癌 2 3例 ,总阳性率为 85 .19% ,经针吸、钳检、刷检阳性率分别为 5 2 .17% ,5 6 .5 2 % ,6 0 .87%。三种检查方法经统计学处理无显著性差异 (P >0 .0 5 )。冲洗阳性率为 34.78% ,与前三者检查相比有显著差异 (P <0 .0 5 )。提示针吸、钳检、刷检阳性率相似 ,但明显高于冲洗阳性率。结论 :经纤支镜针吸是一项安全可靠的检查方法 ,副作用少 ,配合钳检、刷检、冲洗可提高肺癌的诊断率 ,可作为纤支镜诊断肺癌的常规检查方法
Objective: To investigate the diagnostic value of bronchoscopy and needle aspiration for lung cancer. Methods: Twenty-seven patients diagnosed with lung cancer underwent bronchoscopy, forceps test, brush test and flushing. Results: Twenty-seven cases were diagnosed as lung cancer with a positive rate of 85.19%. The positive rates of needle aspiration, clamp test and brush test were 52.17%, 56.2%, 60% .87%. There was no significant difference between the three methods in the statistics (P> 0.05). The positive rate of washing was 34.78%, which was significantly different from the former three tests (P <0.05). Tip needle suction, pliers, brushing positive rate was similar, but significantly higher than the positive rate of washing. Conclusion: Needle aspiration by fiberoptic bronchoscopy is a safe and reliable method for examination, with fewer side effects. It can increase the diagnostic rate of lung cancer with clamp test, brush test and flushing, and can be used as a routine examination method of bronchofiberscope in the diagnosis of lung cancer