非直视经纤支镜肺活检联合细胞学检查对周围型肺癌的诊断价值

摘要

目的 探讨非直视经纤支镜肺活检( TBLB)联合多种细胞学检查对周围型肺癌的诊断价值.方法 采用回顾性分析对该院3年来进行非直视TBLB(简称盲检)并最终诊断为周围型肺癌的111例患者进行总结.结果 111例确诊为周围型肺癌的患者中盲检阳性68例(61.26％),支气管肺泡灌洗阳性26例(23.42％),刷片阳性25例(22.52％),痰检阳性14例(12.61％),四种方法联合阳性80例(72.07％).结论 盲检联合BALF、刷片及痰检对诊断周围型肺癌有较高的阳性率.%[Objective] To study the value of bronchoseopy combining cytology on the diagnosis of peripheral lung cancer under blind conditions. [Methods] A retrospective analysis was applied to 111 patients, who underwent blind bronchoscopy and were finally diagnosed with peripheral lung cancer, in Zhongda hospital from July 2008 to July 2011. [Results] Among 111 patients diagnosed with peripheral lung cancer: Transbronchial Lung Biopsy (TBLB) positive 68 cases (61.16%), Bronchoalveolar Lavage Fluid (BALF) positive 26 cases (23.42%), brushing positive 25 cases (22.52%), sputum positive 14 cases (12.61%), four methods combined positive 80 cases (72.07%). [ Conclusion ] There was a higher positive rale with TBLB combined with BALF, brushing and sputum in the diagnosis of peripheral lung cancer under blind conditions.