摘要
目的 :了解经支气管肺活检 (TBLB)对疑为周围型肺癌的肺部孤立性肿块的诊断作用。方法 :分析 2 5 7例肺部孤立性肿块TBLB结果。结果 :15 0例患者获病理标本确诊 ,其中腺癌 5 5例 ,鳞癌 39例 ,小细胞未分化癌14例 ,结核 18例 ,结节病 7例 ,淋巴瘤 2例 ,炎性假瘤 1例 ,曲霉菌病 1例 ,结节型肺泡细胞癌 1例 ,粘液表皮样癌 2例 ,转移性绒癌 1例 ,转移性乳头状瘤 1例 ,无法确定类型的癌有 8例 ,未获得阳性病理结果的有 10 7例。在确诊的腺癌病人中吸烟指数超过 40 0年支的占 2 9% (16 / 5 5 ) ,鳞癌 6 6 % (2 6 / 39) ,小细胞未分化癌的病例占6 4.7% (11/ 17)。就诊时的症状多为咳嗽 ,其次为咯血 (痰 ) ,少部分为胸痛等。结论 :TBLB针对疑为周围型肺癌的肺部孤立性肿块的诊断 ,是一种方便、易行、安全、花费较少且较有效果的手段。
Objective: To evaluate the diagnostic value of TBLB in peripheral pulmonary nodule that was not defined. Method: To analyse the TBLB results of 257 cases of peripheral pulmonary nodule. Results: 150 cases were defined (55 adenocarcinomas, 39 squamous cell carcinomas, 14 small cell carcinomas, 18 tuberculosises, 7 sarcodosises, 2 lymphomas, 1 nodular alveolar cell carcinoma, 1 aspergillosis, 1 poroma, 2 mucoepidermoid carcinomas, 1 metastatic papilloma, 8 malignant cases were not well defined). Meanwhile, 107 cases were nondiagnostic. We also found a very high incidence of lung cancer in somking index (>400). Squamous cancer was 66% (26/39), small cell carcinomas was 64.7% (11/17). In adenocarcinoma, it was 29% (16/25). The most common symptoms were cough, hemoptysis and chest pain. Conclusions: TBLB diagnostic method may be preferable, safe, easy and inexpensive.
出处
《中国内镜杂志》
CSCD
2001年第4期30-31,共2页
China Journal of Endoscopy
关键词
纤维支气管镜
活检
诊断
肺肿块
Fiberoptic bronchoscopy, TBLB, Peripheral pulmonary nodule
