摘要
目的 探讨重复纤支镜检查在肺癌诊断中的价值。方法 回顾性分析70例怀疑肺癌接受重复纤支镜检查患者的临床病例资料。结果 64例患者重复纤支镜检查1次，4例患者重复纤支镜检查2次，2例患者重复纤支镜检查3次。16例患者重新获得病理学确诊，重复检查的阳性率为22．86％（16／70）。复检病理学阳性以赘生物型为主，粘膜型次之。结论 首次纤维镜结果与临床，X线，特别是镜下直视不符时，应积极进行复检，重复检查以1—2次为宜，综合运用各种镜下诊断技术有助于提高阳性率。
Objective To examine clinical value of repeated use of fiberoptic bronchoscope in diagnosis of lung cancer. Methods Clinical data of 70 patients who received repeated bronchoscope were analyzed retrospectively. Results 64 patients received bronchoscope once, 4 patients twice, 2 patients three times. New pathological evidences were acquired in 16 cases. The positive rate of repeated examinations was 22. 86% （16/70）. Among those who had positive results by examinations, vegetation was seen in most cases, followed by mucosa lesion type. Conclusion Repeated use of bronchoscope is recommended when initial pathological results are not consistent with clinical manifestations such as X ray, especially morphyloeieal changes under the scope. One or two times of the examinations may be an appropriate option. The application of varied bronchoscope techniques may be helpful in improving positive rate.
出处
《临床肺科杂志》
2006年第4期469-469,共1页
Journal of Clinical Pulmonary Medicine
