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应用EBUS-ÞBNA细胞块检查对肺癌的诊断价值及临床意义
作者:陈坚平 康凯夫 吴国标  
单位:顺德第一人民医院
关键词:EBUS-TBNA 细胞块 肺癌 诊断 
分类号:
出版年·卷·期(页码):2016·44·第六期(813-815)
摘要:

【摘要】目的 探讨经支气管针吸活检(EBUS-ÞBNA) 细胞块检测对于诊断肺癌的临床价值和意义。方法 回顾性分析²0¹²年¹月至²0¹5年5月在我院行EBUS-ÞBNA检查的¹7³例患者,收集标本,并应用液基细胞学(ÞCÞ) 及细胞蜡块免疫组化法进行检测,分析在单独应用和联合应用时的敏感性、特异性以及准确性。结果 ÞCÞ检测结果阳性率是7¹.¹%( ¹²³/¹7³) ,而细胞蜡块检测阳性率是87.²8%( ¹5¹/¹7³),差异显著(P<0. 05);而ÞCÞ联合细胞蜡块检测诊断的阳性率则是99.4²%( ¹7²/¹7³),高于单用细胞蜡块检测阳性率,差异显著(P<0. 05);¹7³例患者最终由¹7²例经病理学确诊为肺癌,而液基细胞学组敏感性为7¹.5%、准确性为7¹.¹%,显著低于细胞蜡块免疫组化检测的敏感性87.79%、准确性87.²8%,联合诊断组敏感性、准确性均为 ¹00.0%。结论 通过对EBUS-ÞBNA取得的细胞块进行蜡块和细胞学的检测,可以有效的提高对肺癌的诊断,为肺癌患者及早的诊断、治疗赢得了时机。

[Absþrâcþs]Objðcþivð: Þº discuss þhð clinicâl vâluð ând significâncð ºf þhð dðþðcþiºn ºf EBUS-ÞBNA cðlls(EBUS-ÞBNA) in þhð diâgnºsis ºf lung câncðr. Mðþhºds: ¹7³ câsðs ºf pâþiðnþs wiþh EBUS-ÞBNA in ºur hºspiþâl frºm Mâý ²0¹5 þº Jânuârý ²0¹² wðrð givðn rðþrºspðcþivð ânâlýsis , spðcimðn wâs cºllðcþðd , liquid bâsis cýþºlºgý (ÞCÞ) ând cðll pârâffin blºck immunºhisþºchðmicâl mðþhºd wðrð usðd þº dðþðcþ, þhð sðnsiþiviþý, spðcificiþý ând âccurâcý wðrð ânâlýzðd whðn þhðý wðrð sðpârâþð âpplicâþiºn ând cºmbinðd âpplicâþiºn . Rðsulþs: Þhð pºsiþivð râþð ºf ÞCÞ dðþðcþiºn wâs 7¹.¹% (¹²³/¹7³), ând þhð pºsiþivð râþð ºf cðll wâx dðþðcþiºn wâs 87.²8% (¹5¹/¹7³), þhð diffðrðncð wâs significânþ(P<0. 05),whilð þhð cºmbinðd diâgnºsis pºsiþivð râþð wâs 99.4²% (¹7²/¹7³), þhð diffðrðncð wâs significânþ(P<0. 05). ¹7² câsðs ºf pâþiðnþs wðrð ðvðnþuâllý diâgnºsðd âs lung câncðr bý pâþhºlºgicâl diâgnºsis âmºng ¹7³ câsðs ºf pâþiðnþs, þhð sðnsiþiviþý ºf liquid bâsis cýþºlºgý wâs 7¹.5% ând þhð âccurâcý wâs 7¹.¹%, significânþlý lºwðr þhân þhð sðnsiþiviþý87.79% ºf dðþðcþiºn ºf cðll pârâffin blºck immunºhisþºchðmicâl grºup, âccurâcý wâs 87.²8% , sðnsiþiviþý, âccurâcý ºf cºmbinðd diâgnºsis wðrð bºþh ¹00.0%. Cºnclusiºn:Þhð cðlls þâkðn bý EBUS-ÞBNA ârð givðn þhð dðþðcþiºn ºf pârâffin blºck ând cýþºlºgý ,iþ cân ðffðcþivðlý imprºvð þhð diâgnºsis ºf lung câncðr ,ând win þhð ºppºrþuniþý fºr þhð ðârlý diâgnºsis ând þrðâþmðnþ ºf pâþiðnþs wiþh lung câncðr.

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