【摘要】 目的探讨支气管镜下采用不同取材方法:肺活检结合刷检与灌洗作病理学检查,对周围型肺癌诊断结果的临床分析。方法将65例疑似为周围型肺癌患者随机分成两组,观察组35例,采用经支气管镜肺活检结合刷检与灌洗取材;对照组30例,单纯采用经支气管镜肺活检获取标本,均送病理学检查,比较两种取材方法获取周围型肺癌诊断阳性率。结果观察组异常的有27例,阳性率为77.2%;对照组异常的有16例,阳性率为53.3%,两组患者的阳性率比较差异有显著性(p<0.05)。结论肺活检结合刷检与灌洗可提高周围型肺癌的阳性检出率,能为临床诊疗提供科学的诊断依据。更多还原

【Abstract】 Objective To explore the clinical significance of lung biopsy combined with brush biopsy and lavage with electron bronchoscopy to the Diagnosis of Peripheral Pulmonary Carcinoma. Methods Dividing 65 patients with suspected Peripheral Pulmonary Carcinoma into two groups in random.35 patients among whom were drawn materials by lung biopsy combined with brush biopsy and lavage with electron bronchoscopy as the Observation group.Others were drawn materials only by lung biopsy with electron bronchoscopy as the Control group.Both groups were sent and checked with pathology.The positive rates of these two methods were compared. Results 27 patients of the Observation group were abnormal.The positive rate was 77.2%.16patients of the Control group were abnormal.The positive rate was 53.3%.The positive rates of the patients in two groups have significant difference(p<0.05). Conclusion Lung biopsy combined with brush biopsy and lavage with electron bronchoscopy can improve the positive rates of Peripheral Pulmonary Carcinoma and provide scientific Diagnosis basis in clinic.更多还原