肺癌术后支纤镜检查的价值

THE VALUE OF FIBROBONCHOSCOPY AFTER OPERATION FOR LUNG CANCER

本文报道我院１９８２年２月—１９９２年１０月因肺癌术后支纤镜检查６３例，结果为：支气管痰液阻塞２９例（４６．０３％）；肺内复发癌１１例（１７．４６％），肺内第二原发癌６例（９．５２％），残端炎症８例（１２．７０％）；残端线头残留４例（６．３４％）；残端正常５例（７．９３％）。笔者认为：术后呼吸困难者应行紧急支纤镜吸痰，若病人有血丝痰，不论胸片是否有新病灶，均应立即行支纤镜检查。有助于早期发现肺内复发癌和肺内第二原发癌。

Sixty-three patients underw ent fibrobronchoscopy after operationfo for lung cancer in our hospital from Feb.1982 to Oct.1992.The results offibrobronchoscopy showed that there were 29 cases of bronchial ob,struction due tosputum, accounting for 46.03%; 11 cases of intrapulmonary recurrent cancer,accounting for l7.46%;6 cases of intrapulmonary secondacy primary cancer,(9.52%);12cases of stump inflammati) qn,(19.04 %) ;4 cases of residual stump thread,(6.34 %),and 5 cases of normalstump( 7.93).The author believes that urgent 6bronchial sputumaspiration shoulb be) performed if patients presented with dyspnea after operation.Nomatter whenther chest X-ray examination shows a new focus or not,fibrobronchoscopyshould be immediately undertaken, if patients presented with hemoptysis. To achieve early detection of intrapulmonary recurrent cancer and intrapulmonarysecondary primary cancer,it is proposed that patients be examined once every threeto six months within three years after operation and be examined once a year there after.