摘要
目的 探讨经纤维支气管镜 (纤支镜 )支气管黏膜下针吸活检 (TBNA)在肺癌早期诊断中的价值。方法 对 12 6例肺部块影而纤支镜下未见新生物的患者进行可疑病变局部TBNA检查 ,同时进行局部黏膜表面钳取活检并刷检。结果 12 6例患者TBNA对肺癌的诊断符合率为78 6 % (6 6 / 84 ) ,刷检阳性率为 36 9% (31/ 84 ) ,钳取活检阳性率为 14 3% (12 / 84 )。 89例 (70 6 % )患者穿刺部位有少量出血 ,余患者均无其它严重并发症发生。结论 对支气管黏膜下进行TBNA是肺癌早期诊断的有效方法 ,且操作简便、安全、阳性率高 。
Objective To evaluate the values of transbronchial needle aspiration (TBNA) in the bronchial submucosa in the early diagnosis of lung cancer.Methods TBNA biopsy was performed in suspected lesions in 126 cases of lung masses which had no endoscopically visible neoplasm meanwhile brushing and clipping were performed for cytological examination.Results The accuracy of diagnosis for lung cancer was 78.6% (66/84) by TBNA,36.9% (31/84) by brushing cytology,and 14.3% (12/84) by clipping cytology.Mild bleeding at the penestrated site was obverved in 89 patients (70.6%) without any severe complications.Conclusion TBNA is a safe,simply and effective method with high accuracy in the early diagnosis of lung cancer.
出处
《中国呼吸与危重监护杂志》
CAS
2004年第4期233-234,共2页
Chinese Journal of Respiratory and Critical Care Medicine
