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作者对443例肺癌经纤维支气管镜作刷检和/或钳取标本作活组织检查,比较其诊断结果。其中134例有手术或尸解的组织学诊断。443例的刷检阳性率(90.3%)比活检(64.8%)高,两种方法联合诊断的阳性率提高到93.7%。从组织类型比较,无论是刷检还是活检,均以鳞癌与小细胞癌的诊断正确性为高(分别为93%,95.8%;73.2%、75%)。刷检与活检结果获得相同细胞类型者200例,占73.5%。
The authors of the 443 cases of lung cancer by fiberoptic bronchoscopy brushing and / or clamp specimens for biopsy to compare the diagnosis. Of these, 134 had histological diagnosis of surgery or autopsy. The positive rate of brushing in 443 cases (90.3%) was higher than that in biopsy (64.8%). The positive rate of the combined diagnosis of the two methods increased to 93.7%. From the comparison of tissue types, the diagnostic accuracy of squamous cell carcinoma and small cell carcinoma was high (93%, 95.8%, 73.2%, 75%, respectively) in both brushing and biopsy. The results of brushing and biopsy results in 200 patients with the same cell type, accounting for 73.5%.