多功能标本采集器在肺癌患者中的诊断价值.docVIP

精品论文 参考文献 多功能标本采集器在肺癌患者中的诊断价值 刘卫庭1 李再清1 刘辉2 　　（1南华大学附属邵阳市中心医院呼吸内科 湖南邵阳 422000) 　　(2长沙东方万泰医疗器械技术开发有限公司 湖南长沙 410000） 　　【摘要】目的 探讨多功能标本采集器在肺癌患者中的诊断价值。方法 对2012年10月到2014年1月门诊或住院部临床疑诊为肺癌的患者302例（后非肺癌诊断者28例），支气管镜检查中能直视的病灶130例先活检，后利用多功能标本采集器吸引；不能直视的病灶部分（68例）直接经肺活检后，多功能标本采集器吸引，部分未行肺活检直接通过支气管镜灌洗（36例）或采取多功能标本采集器灌洗（40例）。其诊断肺癌的阳性率分别为：80.0%（其中利用多功能标本采集器吸引阳性率为59.2%）；55.8%（其中利用多功能标本采集器吸引阳性率为23.6%）；19.4%（7/36）；45.0%（18/40）。结论 多功能标本采集器联合应用于肺癌患者诊断中可提高其诊断阳性率。 　　【关键词】多功能标本采集器 肺癌 阳性率 　　【中图分类号】R734.2 【文献标识码】A 【文章编号】1672-5085（2014）17-0091-02 　　Diagnostic value of multifunctional specimen collector in lung cancer patients 　　【Abstract】 Objective:To evaluate diagnostic value of multifunctional specimen collector in patient with lung cancer. Methods: 302 cases of patients in out-patient and inpatient department for suspected lung cancer from October 2012 to January 2014 were entered prospectively into the study,including 28 cases of non lung cancer in the final diagnosis.Transbronchial biopsy and multifunctional specimen collector successively were performed in 130 cases of lung cancer which could be observed directly by bronchoscope.Of non-visible tumours by transbronchial ,68 cases were performed by Transbronchial lung biopsy(TBLB) and multifunctional specimen collector successively,36 cases were performed directly by Bronchoalveolar lavage ,and 40 cases were performed by multifunctional specimen collector lavage. Results:The diagnostic positive rate of lung cancer were as follows: 80.0% (using the multi-function specimen collector attract positive rate was 59.2%),55.8% (using the multi-function specimen collector pump positive rate was 23.6%),19.4% (7/36),45% (18/40) .Conclusion:The positive rate in the diagnosis of lung carcinoma can be increased by the combined multifunctional specimen collector . 　　【Key words】multifunctional specimen collector lung cancer positive rate 　　肺癌发病率逐年上升，研究表明多种肿瘤标志物联合应用有助于其诊断[1]，但其确诊仍依赖病理学，为了更好