纤维支气管镜对肺癌的诊断价值106例分析

THE VALUE OF FIBERBRONCIIOSCOPY IN DIAGNOSIS OF BRONCHOGENIC CARCINOMA,AN ANALYSIS OF 106 CASES

在疑诊为肺癌的310例纤维支气管镜检查中,经活检及细胞学证实为肺癌者106例。其组织细胞学类型为:鳞癌55(59.1%)例,腺癌11(10.4%)例,未分化癌37(34.8%)例,难定型者3(2.8%)例。12例痰脱落细胞检查阳性患者,其细胞学类型均与纤支镜吸刷标本细胞学一致。24例活检阳性患者,其中12例吸刷标本细胞学阴性。另12例细胞学与活检8例一致,2例难定型,另2例不一致。纤支镜检查是获取病理标本的主要手段,故对可疑肺癌患者应早作纤支镜检查。

Fiberbronchoscopy was performed on 310 cases of suspected bronchogenic carcinoma,which 106 cases of lung cancer were comfirmed by biopsy and cytological examination. The histoiogical types of bronchogenic carcinoma were: squa-mous cell carcinoma 55(59. 2%) cases,adenocarcinoma 11(10. 4%)cases,undiffrentiated carcinoma 37(34. 8%) cases and 3 (2.8%) unclassified cases. Twelve cases had positive results in sputum exfoliative cell examination,the cell type of which was identical with that of brush cell examination. Twenty -four cases had positive results in pathological examination of inci-. sional biopsy specimens,of which 12 cases showed negative results in brush cell examination. Of other 12 caese.8 had the same results in brush cell and incisional biopsy examination,2 were undermined and 2 had disaccoroding results. Fiberbron-choscopy is an useful means to obtain pathological specimens for diagnosis,therefore it should be performed early when a patient is suspected to have the possibility of lung cancer.