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该文对 5 5例疑为支气管肺癌的肺部病变行纤维支气管镜检查。无可视肿瘤表现者采用经支气管针吸活检术 (简称TBNA)检查 ,并与刷检及术后病理组织细胞学结果进行比较 ,结果证明 5 5例病人中TBNA与刷检的正确诊断率分别为 92 .7% (5 1/ 5 5 )和 5 0 .9% (2 8/ 5 5 ) ;其中肺癌 41例TBNA和刷检正确诊断率分别为90 .2 % (37/ 41)和 34.1% (14/ 41) ;TBNA检查明显优于刷检 (P <0 .0 1)。 41例肺癌中支气管镜下有间接征象和无异常表现者 ,其TBNA适用于任何胸部X光片或纤维支气管镜下疑为肺癌的病例。认为TBNA是一种简单、安全、经济、有效的新技术 ,具有重要的临床应用价值。
In this paper, 54 patients suspected of bronchial lung cancer were examined by bronchoscopy. The patients with no visible tumor were examined by bronchial needle aspiration biopsy (TBNA for short) and compared with the results of brush examination and postoperative histopathological examination. The correct diagnosis rates of TBNA and brush examination in 55 patients were respectively The positive diagnostic rates of TBNA and brushing in 41 cases of lung cancer were 90.2% (37/41) and 34.1 (37/41) respectively, which were 92.7% (51/55) and 50.9% (28/55) % (14/41). TBNA examination was significantly better than brush examination (P <0.01). 41 cases of lung cancer in bronchoscopy with indirect signs and no abnormal performance, the TBNA for any chest X-ray or bronchoscopic suspected lung cancer cases. TBNA is considered as a simple, safe, economical and effective new technology, which has important clinical value.