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目的 :探讨经支气管针吸术 (TBNA)对管壁浸润型肺癌的诊断价值。方法 :对 2 4例怀疑肺癌的患者采用TBNA细胞学检查 ,并同时行活检、刷检 ,进行对比分析。结果 :用 3种方法共确诊肺癌 19例 ,总检出率为 79 1% ;TBNA确诊 15例 ,为 6 2 5 % ;活检确诊 13例 ,为 5 4 2 % ;刷检确诊 7例 ,为 2 9 2 %。经统计学处理 ,χ2 =12 .2 4(P <0 .0 5 ) ,差异有显著性。结论 :TBNA对管壁浸润型肺癌有较高的诊断价值 ,且简单、安全。
Objective: To investigate the value of bronchial needle aspiration (TBNA) in the diagnosis of tubular infiltrating lung cancer. Methods: Twenty-four patients with suspected lung cancer were treated with TBNA cytology, biopsy and brush test at the same time for comparative analysis. Results: Twenty-nine lung cancer cases were diagnosed by the three methods, with a total detection rate of 79.1%. TBNA was diagnosed in 15 cases (62.5%), biopsy was performed in 13 cases (54.2%), and 7 2 9 2%. Statistically, χ2 = 12.24 (P <0.05), the difference was significant. Conclusion: TBNA has a high diagnostic value for invasive ductal carcinoma and is simple and safe.