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[1]馮愛然,洪苓苓,葉玲,等.快速現(xiàn)場(chǎng)評(píng)價(jià)技術(shù)在肺癌診斷中的應(yīng)用價(jià)值[J].福建醫(yī)藥雜志,2022,44(03):5-8.
　FENG Airan,HONG Lingling,YE Ling,et al.Application value of rapid on-site evaluation technology in diagnosis of lung cancer[J].FUJIAN MEDICAL JOURNAL,2022,44(03):5-8.
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快速現(xiàn)場(chǎng)評(píng)價(jià)技術(shù)在肺癌診斷中的應(yīng)用價(jià)值()
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《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
44
期數(shù):
2022年03期
頁碼:
5-8
欄目:
臨床研究
出版日期:
2022-06-15

文章信息/Info

Title:
Application value of rapid on-site evaluation technology in diagnosis of lung cancer
文章編號(hào):
1002-2600(2022)03-0005-04
作者:
馮愛然; 洪苓苓; 葉玲; 楊棟勇1
福建省廈門市第五醫(yī)院呼吸與危重癥醫(yī)學(xué)科(廈門 361101)
Author(s):
FENG Airan; HONG Lingling; YE Ling; YANG Dongyong. Department of Respiration and Critical Care
Medicine,the Fifth Hospital of Xiamen,Xiamen, Fujian 361101,China
關(guān)鍵詞:
快速現(xiàn)場(chǎng)評(píng)價(jià);  活體組織檢查;  病理;  肺癌
Keywords:
rapid on-site evaluation;  biopsy;  pathology;  lung cancer
分類號(hào):
R734.2
文獻(xiàn)標(biāo)志碼:
B
摘要:
目的 探討快速現(xiàn)場(chǎng)評(píng)價(jià)(rapid on-site evaluation,ROSE)技術(shù)在肺癌診斷中的臨床價(jià)值。方法 收集疑似肺癌病例45例,活檢標(biāo)本后同時(shí)行ROSE技術(shù)及病理檢查,以病理學(xué)檢查為金標(biāo)準(zhǔn),計(jì)算ROSE檢查的符合率。記錄兩者出具報(bào)告所需的時(shí)間。結(jié)果 45例患者中,經(jīng)支氣管鏡檢查的病例有29例,CT引導(dǎo)下經(jīng)皮肺穿刺檢查12例,胸膜活檢術(shù)及胸腔閉式引流術(shù)4例。病理標(biāo)本中均可診斷肺癌,ROSE標(biāo)本44例可診斷肺癌,1例患者不能明確診斷,ROSE技術(shù)的符合率達(dá)97.78%。ROSE報(bào)告取得標(biāo)本后的4～52 min內(nèi)出具,平均時(shí)間(13.58±8.67)min; 病理報(bào)告在2 832～15 885 min獲得,平均時(shí)間(6 908.76±5 260.39)min,兩種診斷比較,差異有統(tǒng)計(jì)學(xué)意義(t=8.79,P=0.001)。結(jié)論 ROSE技術(shù)與病理學(xué)檢查診斷符合率高,ROSE技術(shù)較病理學(xué)檢查具有診斷快速的優(yōu)勢(shì)。
Abstract:
Objective To explore the clinical significance of rapid on-site evaluation(ROSE)in the diagnosis of lung cancer.Methods A total of 45 cases of suspected lung cancer were collected, and ROSE technique and pathological examination were performed simultaneously after biopsy.The coincidence rate of ROSE examination was calculated by taking pathological examination as the gold standard.The time required for both to produce a report was recorded. Results Of the 45 biopsy specimens, there were 29 cases obtained with bronchoscopy, 12 cases obtained with CT-guided percutaneous lung puncture, and 4 cases obtained with pleural biopsy and closed thoracic drainage.All of lung cancer could be diagnosed in pathological specimens, 44 cases could be diagnosed in ROSE specimens,1 case could not be clearly diagnosed.The coincidence rate of ROSE technique was 97.78%.The ROSE report was issued within 4～52 min after obtaining the specimen, with an average time of(13.58±8.67)min; the pathological report was obtained within 2 832～15 885 min, with an average time of(6 908.76±5 260.39)min.The difference between the two diagnoses was statistically significant(t=8.79,P=0.001).Conclusion ROSE technology has a high coincidence rate with pathological examination, and ROSE technology has the advantage of rapid diagnosis compared with pathological examination.

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備注/Memo

備注/Memo:
基金項(xiàng)目:福建省科技計(jì)劃引導(dǎo)性項(xiàng)目(2020D024)
1 通信作者,福建醫(yī)科大學(xué)附屬第二醫(yī)院呼吸與危重癥醫(yī)學(xué)科
更新日期/Last Update: 2022-06-15