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[通过纤维支气管镜检查所获样本对支气管癌进行细胞学诊断]

[Cytological diagnosis of bronchial cancers from samples obtained through broncho-fibroscopy].

作者信息

Milleron B, Broquie G, Castelain G, Solignac P, Brocard H

出版信息

Sem Hop. 1977;53(25-28):1517-22.

PMID:197642
Abstract

The results of cytological studies of samples obtained by fibre endoscopy of the bronchus in 160 cases of bronchial ; carcinoma were analysed. Thanks to the routine use of brushing, aspiration, often selective and sputum examination, the diagnosis was obtained in 62% of cases. Naturally it was mainly positive in the proximal budding forms (78%) but the figures in the distal forms, including those where fibre endoscopy was negative, remained high (54%). There was never a true false positive, and the cytohistological correlation was almost 100%. Distal aspirations were the most useful in peripheral forms, whilst brushing was more useful in proximal forms. In any case thanks to these new technics, fibre endoscopy has become a simple examination for routine use which has now a very important place in the diagnosis of bronchial carcinoma.

摘要

对160例支气管癌患者经纤维支气管镜检查获取的样本进行了细胞学研究分析。由于常规采用刷检、抽吸(常为选择性抽吸)及痰液检查,62%的病例得以确诊。自然,主要在近端萌芽型病例中呈阳性(78%),但远端型病例(包括纤维支气管镜检查为阴性的病例)的阳性率也很高(54%)。从未出现过真正的假阳性,细胞组织学相关性几乎达100%。远端抽吸对周围型病例最有用,而刷检对近端型病例更有用。无论如何,由于这些新技术,纤维支气管镜检查已成为一项简单的常规检查,在支气管癌诊断中现占据非常重要的地位。

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