113例支气管镜肺活检联用刷检的临床价值分析

【】2016-05-16 点击次数次

梁伟权胡佩村：佛山市第二人民医院广东佛山 528000
通讯作者：胡佩村

113例支气管镜肺活检联用刷检的临床价值分析

梁伟权胡佩村
THE CLINICAL VALUE ANALYSIS OF 113 CASES EXAMINED BY BRONCHOSCOPY LUNG BIOPSY COMBINED WITH BRUSH CYTOLOGY
LIANG Weiquan, HU Peicun

  【摘要】目的对支气管镜肺活检(以下简称TBLB)联用刷检的临床价值进行评价分析，为今后的临床诊治工作提供可靠的参考依据。方法抽取在2011年1月-2012年12月间由笔者亲自采取无X线引导TBLB联用刷检的113例弥漫性或周围性肺疾病的临床病例，并对检查结果和相应的临床资料展开回顾性分析。结果经统计，本组113例患者经TBLB联用刷检明确诊断者73例，诊断阳性率为64.60%，其中弥漫斑片状阴影96.02%、弥漫粟粒或结节状为72.13%,局部浸润灶54.12%，弥漫网格状、蜂窝状或磨玻璃样病灶32.11%、局部肿块结节28.26%。结论采取TBLB联用刷检对弥漫性、周围性肺疾病患者的临床诊断价值显著，诊断率较高，值得推广运用。
  【关键词】支气管镜肺活检,刷检,弥漫性肺疾病,周围性肺疾病

  【Abstract】 Objective To evaluate the clinical value of bronchoscopy lung biopsy Combined with brush cytology. Methods Collected 113 cases of diffuse or clinical cases of peripheral pulmonary disease examined by bronchoscopy lung biopsy Combined with brush cytology with no X-ray guiding during January 2011 to December 2012. And the inspection results and the corresponding clinical data were retrospectively analyzed. Results In 113 cases 73 cases made a definite diagnosis, diagnostic positive rate was 6460% in total, include 96.02% of diffuse patchy shadows, 72.13% of diffuse millet or nodular, 54.12% of local infiltration focal, 32.11% of diffuse grid or ground glass honeycomb lesion, 28.26% of local tumor nodules.Conclusion There is significantly clinical diagnosis value of bronchoscopy lung biopsy Combined with brush cytology to examine diffuse and peripheral pulmonary disease.
     【Key words】 bronchoscopy lung biopsy, brush cytology, diffusive pulmonary disease, peripheral pulmonary disease
     【Author′s address】 The Second Hospital of Foshan, Guangdong,528000,China

作者	梁伟权 (佛山市第二人民医院广东佛山 528000)；胡佩村 (佛山市第二人民医院广东佛山 528000)；
刊名	现代医院 2015年07期 59-60页
英文期刊名	Modern Hospital
关键词	支气管镜肺活检刷检弥漫性肺疾病周围性肺疾病 bronchoscopy lung biopsy brush cytology diffusive pulmonary disease peripheral pulmonary disease
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