Béjui-Thivolet F, Guérin J C
Laboratoire d'Anatomie et de Cytologie Pathologiques, Hôpital de la Croix-Rousse, Lyon.
Rev Mal Respir. 1992;9(1):23-30.
Bronchial cytology has become an essential diagnostic means in lung pathology for the diagnosis and typing of primary or secondary lung cancers. Bronchial cytology, initially consisting in the study of expectorations, has become increasingly interesting with the development of flexible fiberendoscopes, which allow the visual exploration of areas of the lungs as far down as the subsegmental bronchi. The effectiveness of this type of cytology applied to detected and located lesions accounts for the development of aspiration and brushing. However, the obtention of good cytological results primarily depends on the operator's and nurse's experience, as well as on the quality of the preparation of the slides and of their interpretation in the laboratory.
支气管细胞学已成为肺部病理学中诊断原发性或继发性肺癌及其分型的重要诊断手段。支气管细胞学最初包括对痰液的研究,随着可弯曲纤维内镜的发展,其变得越来越重要,因为可弯曲纤维内镜能够对肺部直至亚段支气管的区域进行可视性探查。将这种细胞学应用于检测和定位病变的有效性促使了针吸术和刷检术的发展。然而,获得良好的细胞学结果主要取决于操作人员和护士的经验,以及玻片制备的质量及其在实验室中的解读。