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目的评价纤维支气管镜下单一取材法与联合取材方法对肺癌早期的诊断价值。方法回顾性分析我院2000年7月至2006年6月481例经纤维支气管镜检查确诊肺癌的患者,比较采用钳夹、刷检、针吸和灌洗的单一取材方法及联合取材法检测肺癌早期的阳性率。结果钳夹、刷检、针吸和灌洗的阳性率分别为83.9%、70%、59.1%和35.9%,联合后总阳性率为90.2%。结论纤维支气管镜检查是确诊肺癌的重要手段之一,联合应用多种取材方法可提高肺癌的诊断准确率。
OBJECTIVE: To evaluate the diagnostic value of early diagnosis of lung cancer by single-piece method and combined method of fiberoptic bronchoscopy. Methods A retrospective analysis of our hospital from July 2000 to June 2006 481 cases of lung cancer diagnosed by fiberoptic bronchoscopy patients were compared using a single access method of clamping, brushing, needle aspiration and lavage and combined with the method of detection of lung cancer Early positive rate. Results The positive rates of clamping, brushing, needle aspiration and lavage were 83.9%, 70%, 59.1% and 35.9% respectively, and the positive rates were 90.2%. Conclusions Fiberoptic bronchoscopy is one of the most important means to diagnose lung cancer. Combining a variety of methods can improve the diagnostic accuracy of lung cancer.