摘要
目的探讨肺纤维支气管镜细胞病理学检查结果对于肺癌患者临床诊疗的参考价值。方法选取2017年3月至2018年9月于我院接受临床诊断的102例疑似肺癌患者作为研究对象,行X线检查、肺纤维支气管镜细胞病理学检查,并与手术病理检查结果进行对比。结果在102例受检者中,通过肺纤维支气管镜细胞病理学检查,检出肺癌患者70例(鳞癌37例、腺癌10例、小细胞癌18例、大细胞癌5例)。通过X线检查,检出肺癌患者59例(鳞癌33例、腺癌7例、小细胞癌15例、大细胞癌4例)。对比病理诊断结果,肺纤维支气管镜细胞病理学检查对于肺癌的诊断符合率(95.10%>78.67%)高于X线检查方法(P<0.05,χ~2=6.699)。结论在肺癌的临床诊断中,应用肺纤维支气管镜细胞病理学检查方法,能够及时、准确的检出疾病,判断疾病的类型,为临床治疗工作的开展提供了重要的支持。
Objective To investigate the reference value of cytopathological examination of pulmonary fiber bronchoscopy for clinical diagnosis and treatment of lung cancer patients.Methods A total of 102 patients with suspected lung cancer who underwent clinical diagnosis from March 2017 to September 2018 were enrolled in the study.X-ray examination,pulmonary fiberoptic bronchoscopy and pathological examination were performed.Compared.Results Of the 102 subjects,70 patients with lung cancer(37 cases of squamous cell carcinoma,10 cases of adenocarcinoma,18 cases of small cell carcinoma,and 5 cases of large cell carcinoma)were detected by cytopathological examination of pulmonary fiberoptic bronchoscopy.X-ray examination showed 59 cases of lung cancer(33 cases of squamous cell carcinoma,7 cases of adenocarcinoma,15 cases of small cell carcinoma,4 cases of large cell carcinoma).Comparing the pathological diagnosis results,the diagnostic rate of lung fiber bronchoscopy cytopathology for lung cancer(95.10%>78.67%)was higher than that of X-ray examination(P<0.05,χ~2=6.699).Conclusion In the clinical diagnosis of lung cancer,the application of pulmonary fiber bronchoscopy cytopathology can timely and accurately detect the disease and determine the type of disease,which provides important support for the development of clinical treatment.
作者
范晓明
韩殿龙
FAN Xiao-ming;HAN Dian-long(Dalian Central Hospital,Dalian 116003,China;Dalian Hospital,Shengjing Hospital,Dalian Medical University,Dalian 116600,China)
出处
《中国医药指南》
2020年第20期147-148,共2页
Guide of China Medicine
