中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2012年
16期
2403-2404,后插1
,共3页
廉海容%蔡礼鸣%张芳%蒋峰%游庆军
廉海容%蔡禮鳴%張芳%蔣峰%遊慶軍
렴해용%채례명%장방%장봉%유경군
自荧光支气管镜%袖状切除术%支气管镜%癌,非小细胞肺
自熒光支氣管鏡%袖狀切除術%支氣管鏡%癌,非小細胞肺
자형광지기관경%수상절제술%지기관경%암,비소세포폐
Autofluorescence bronchoscopy%Sleeve resection%Bronchoscopy%Non-small cell lung,cancer
目的 探讨自荧光支气管镜在肺癌手术评估中的作用及对手术方式选择的意义.方法 回顾性分析32例行手术治疗的非小细胞肺癌( NSCLC)患者资料.患者术前常规行普通白光支气管镜(WLB)和自荧光支气管镜(AFB)检查.比较WLB与AFB检查肿瘤侵犯黏膜情况,根据黏膜活检结果,判定肿瘤生长边界,从而决定手术方式.结果 32例手术患者中19例行肺叶切除术,1例行气管隆突重建术,8例行袖状肺叶切除术,4例因发生气管内转移而选择其他治疗.8例行袖状肺叶切除术的患者中3例为WLB和AFB共同发现,5例为AFB单独发现.4例无法手术患者中2例为WLB和AFB共同发现,2例为AFB单独发现.AFB对支气管黏膜癌变敏感性显著高于WLB(P <0.05).结论 AFB是一种安全高效的检查方法,与WLB相比能显著提高肺癌检查的敏感性,对手术方式的选择具有重要意义.
目的 探討自熒光支氣管鏡在肺癌手術評估中的作用及對手術方式選擇的意義.方法 迴顧性分析32例行手術治療的非小細胞肺癌( NSCLC)患者資料.患者術前常規行普通白光支氣管鏡(WLB)和自熒光支氣管鏡(AFB)檢查.比較WLB與AFB檢查腫瘤侵犯黏膜情況,根據黏膜活檢結果,判定腫瘤生長邊界,從而決定手術方式.結果 32例手術患者中19例行肺葉切除術,1例行氣管隆突重建術,8例行袖狀肺葉切除術,4例因髮生氣管內轉移而選擇其他治療.8例行袖狀肺葉切除術的患者中3例為WLB和AFB共同髮現,5例為AFB單獨髮現.4例無法手術患者中2例為WLB和AFB共同髮現,2例為AFB單獨髮現.AFB對支氣管黏膜癌變敏感性顯著高于WLB(P <0.05).結論 AFB是一種安全高效的檢查方法,與WLB相比能顯著提高肺癌檢查的敏感性,對手術方式的選擇具有重要意義.
목적 탐토자형광지기관경재폐암수술평고중적작용급대수술방식선택적의의.방법 회고성분석32례행수술치료적비소세포폐암( NSCLC)환자자료.환자술전상규행보통백광지기관경(WLB)화자형광지기관경(AFB)검사.비교WLB여AFB검사종류침범점막정황,근거점막활검결과,판정종류생장변계,종이결정수술방식.결과 32례수술환자중19례행폐협절제술,1례행기관륭돌중건술,8례행수상폐협절제술,4례인발생기관내전이이선택기타치료.8례행수상폐협절제술적환자중3례위WLB화AFB공동발현,5례위AFB단독발현.4례무법수술환자중2례위WLB화AFB공동발현,2례위AFB단독발현.AFB대지기관점막암변민감성현저고우WLB(P <0.05).결론 AFB시일충안전고효적검사방법,여WLB상비능현저제고폐암검사적민감성,대수술방식적선택구유중요의의.
Objective To explore the role of autofluorescence bronchoscopy in lung cancer operation and the meaning of choice lung cancer operation mode.Methods To retrospectively analyze 32 non-small cell lung cancer patients.Before lung cancer operation,white light bronchoscopy (WLB) and autofluorescence bronchoscopy (AFB) had been done routinely.Compared the different invasive tumor conditions by WLB and AFB,operation modes were decided by the edge of the tumor which were proved by biopsy pathology.Results In 32 cases,19 cases underwent pulmonary lobectomy.One case underwent carinal resection and reconstruction.8 cases underwent sleeve lobectomy.4 cases underwent other therapy because of tumor airway metastasis.In 8 cases which underwent sleeve lobectomy,3 ca ses were found by WLB and AFB together,5 cases were found only by AFB.In 4 cases who had no operation chance,2 cases were found by WLB and AFB together,2 cases were only by AFB.The sensitivity for the detection of bronchial premalignant lesions was extremely higher with the addition of AFB than WLB alone ( P < 0.05 ).Conclusion Autofluorescence bronchoscopy is a safe and efficient technique which could improve the sensitivity of diagnosis in lung cancer than WLB.It is important to select operation mode.