周家明,刘永军,王 实.超选择性支气管镜肺刷检对肺第5~9级支气管间占位性病变的诊断价值[J].肿瘤学杂志,2012,18(10):772-774.
超选择性支气管镜肺刷检对肺第5~9级支气管间占位性病变的诊断价值
Value of Superselective Transbronchial Lung Brush Biopsy in the Diagnosis for Space-occupying Lesions in the Class 5~9 Bronchus
投稿时间:2012-04-10  
DOI:
中文关键词:  支气管镜检查  体层摄影术,X线计算机  超选择性刷检  细胞学
英文关键词:bronchoscope  tomography,X-ray computed  superselective brush biopsy  cytology
基金项目:
作者单位
周家明 浙江省肿瘤医院浙江省胸部肿瘤(肺、食管)诊治技术研究重点实验室 
刘永军 浙江省肿瘤医院浙江省胸部肿瘤(肺、食管)诊治技术研究重点实验室 
王 实 浙江省肿瘤医院浙江省胸部肿瘤(肺、食管)诊治技术研究重点实验室 
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中文摘要:
      摘 要:[目的] 探讨在高分辨率CT片定位下,气管镜下刷检对位于肺第5~9级支气管间的肺占位性病变的诊断价值。[方法] 对85例肺部肿块位于肺第5~9级支气管间的患者,术前在高分辨率CT片定位下行支气管镜下刷检细胞学检查,以细胞病理学结果为诊断依据。[结果] 经支气管镜肺刷检总阳性率为44.71%,其中非小细胞癌20例,小细胞癌18例。所有患者术后均未发生气胸、肺内大出血等严重并发症。[结论] 高分辨率CT片定位下对位于第5~9级支气管的病灶进行超选择性的刷检具有一定的诊断价值。
英文摘要:
      Abstract:[Purpose] To investigate the diagnostic value of transbronchial lung brush biopsy via bronchoscope with preoperative high resolution CT guided for class 5~9 bronchial space-occupying lesions. [Methods] A total of 85 patients with class 5~9 bronchial space-occupying lesions received the superselective transbronchial lung brush biopsy. The results of the cytology examination were used as diagnostic evidence. [Results] The positive diagnosis rate of the superselective transbronchial lung brush biopsy was 44.71%, including 20 cases with non-small cell cancer and 18 cases with small cell cancer. No severe complications, such as lung copiously internal bleeding and pneumothorax was occurred after brush biopsy. [Conclusion] With high resolution CT guided superselective transbronchial lung brush biopsy to space-occupying lesions in class 5~9 bronchus possesses certain diagnostic value.
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