摘要
目的 :探讨纤维支气管镜 (纤支镜 )对肺癌癌性空洞的诊断价值。方法 :回顾性分析 2 7例肺癌癌性空洞的纤支镜检查情况。结果 :2 7例中鳞癌 17例 ,腺癌 2例 ,腺鳞癌 1例 ,大细胞癌 1例 ,未能分型 6例。纤支镜检查确诊 2 1例 ,阳性率 77.8%。镜下表现 :新生物型 4例 ,粘膜浸润型 12例 ,外压型 3例 ,大致正常型 8例。 4例新生物型直视下活检均阳性 ,刷检 3例阳性 ;7例粘膜浸润型直视下活检阳性 2例 ,刷检阳性 3例 ,其中 1例活检刷检均阳性 ,纤支镜检查阳性率 5 7.1% (4/ 7) ;余 16例中经支气管肺活检阳性 11例 ,经支气管刷检阳性 6例 ,其中 4例活检刷检均阳性 ,阳性率 81.3 % (13/ 16 )。结论 :纤支镜检查对肺癌癌性空洞的确诊率高 ,应予重视。对镜下未见新生物者 ,应积极采用经支气管肺活检及经支气刷检。
Objective: To assess the diagnostic value of fiberoptic bronchoscopy for carcinomatous cavity of lung cancer. Methods: The outcome of bronchoscopy in 27 cases of lung cancer with carcinomatous cavity was analyzed retrospectively. Results: 27 patients included 17 squamous carcinomas, 2 adenocarcinomas, 1 adenosquamous carcinoma, 1 large cell carcinoma, and 6 unable to be classified. 21 patients were definitely diagnosed by fiberoptic bronchoscopy (77.8%). The main endoscopic findings were tumor in 4 cases, infiltration in 12 cases, compression in 3 cases, normal in 8 cases. The positive rate of bronchial biopsy plus brushing was 100% to tumor type (4/4), 57.1% to infiltration type (4/7). To other 16 patients, the total positive rate of transbronchial biopsy and transbronchial brushing was 81.3% (13/16). Conclusions: Fiberoptic bronchoscopy is vital in the diagnosis of carcinomatous cavity of lung cancer. Transbronchial biopsy and transbronchial brushing are the main means to increase diagnostic rate.
出处
《中国内镜杂志》
CSCD
2001年第4期53-54,共2页
China Journal of Endoscopy
