【摘要】 目的　探讨纤维支气管镜 (纤支镜 )下联合病理取材对肺癌的诊断价值。方法　采用回顾性分析法 ,对 2 4 9例肺癌患者的纤支镜检查结果进行统计分析 ,了解钳检、刷检和针吸活检 (TBNA)三种不同病理取材方法对肺癌诊断的阳性率。结果　钳检、刷检、TBNA的阳性率分别为 80 .3% ,6 6 .7%和 71.9% ,三者联合病理取材的阳性率为 94 %。不同病理取材阳性率与肺癌的镜下类型有关。结论　纤支镜下联合病理取材可提高肺癌的病理学诊断率更多还原

【Abstract】 Objective: To study the diagnostic value of pulmonary carcinoma via fibrobronchoscope allied pathologic sampling. Methods:To analysis retrospectively the resultsof fibrobronchoscope on 249 cases of pulmonary carcinoma,and to understand the difference of diagnostic positive rate among protractor biopsy, brush biopsy and aspiration biopsy.Results:The positive rate of protractor biopsy, brush biopsy and aspiration biopsy was 80.3%, 66.7% and 71.9% separately,and the positve rate of allied pathologic sampling was 94%. The different pathologic sampling positive rate related to type of pulmonary carcinoma.Conclusion: Allied pathologic sampling via fibrobronchoscope can increase pathologic positive rate of pulmonary carcinoma.更多还原