纤维支气管镜检查对肺癌诊断价值分析

本文报告我院从１９８３年１２月以来曾行３８００例次纤维支气管镜（简称纤支镜）检查，其中经病理证实和临床随访，最后证实肺癌者９８０例。鳞癌４５０例（４５．９１％），小细胞未分化癌２００例（２０．４％），腺癌１８０例（１８．４％），大细胞未分化癌１０例（１．０２％），肺泡细胞癌８例（０．８２％），粘液表皮样癌５例（０．５１％），病理报告癌但未分类５７例（５．８％），病理未证实，但纤支镜窥见病变，后经化疗或放疗有效，最后死于非其它疾病者７０例（７．１％）。纤支镜检阳性率为７９．５４％，同时讨论纤支镜检对本病的诊断价值。

An Analysis of the Diagnostic Value of Fiberoptic Bronchoscopy in Lung Caucer-A Report of 980 Cases

980 cases were diagnosed as bronchogenic carcinoma out of all the patients(3 800)ex-amined with fiberoptic bronchoscopy since 1983 after pathological confirmation and followingup.A mong these 980 cases,450 cases were pathologically confirmed as epidermoid carcinoma(45.91%),200 cases as small cell of undifferentiated(20.4%),180 cases adenocarcinoma(18.4%),10 cases large cell of undifferentiated(1.02%),8 cases as alveolar cell carcinoma(0.8%),5 cases as mucoid carcinoma(0.5%),70 cases though not pathologically confirmed,were assured to be died of lung cancer rather than other diseases by direct fiberoptic bron-choscopy findings and follow-up(7.1%).The percentage of pathological confirmation viafiberoptic bronchoscopy biopsy was 79.54%. The application of fiberoptic bronchoscopehelps the early diagnosis of lung cancer.