纤维支气管镜检查对中心型及周围型肺癌的诊断价值

Diagnostic value of fibrobronchoscopy in the central and peripheral lung cancer

研究目的探讨中心型及周围型肺癌的诊断方法。研究背景国内对中心型及周围型肺癌纤支镜检查阳性诊断率结果报道差别较大。我们以诊断了1288例肺癌，进一步分析纤支镜检查在中心型及周围型肺癌诊断中的价值。方法全部病例根据纤夫镜活俭及刷检、痰细胞学、胸水细胞学、肺穿刺活检及肺叶切除病理学检查结果确诊。结果纤支镜检查总阳性确诊率为64.36％，中心型及周围型肺癌阳性确诊率分别为79.90％和40.80％。结论纤支镜检查中对中心型肺癌的阳性确诊率较高，但对周围型肺癌的阳性确诊率较低。

Objective To research the diagnostic method of the central and peripheral pulmonary carcinoma.Background The positive diagnostic rate of central and peripheral lung cancer by fibrobronchoscopy (FB ) is very disagreement. We have diagnosed 1288 cases of Iung cancer since 1983. To analysed the value of FB examination further is necessary.Method All 1288 cases of lung cancer have been diagnosed with FB. cytolgy of sputum and effusion in pleural and abdominal cavity, lung biopsy through chest wall, section of lung tissue affer operation.Results Totai positve diagnostic rate in 1288 cases of lung cancer was 64.36%. The diagnostic accodance rate was 79.90% in entral, 40.82% in peripheral respeCtively by FB.Conclussion The positive diagnostic rate of FB in peripheral lung cancer was lower still. buthigher in central lung cancer.