153例肺癌术前病理分析

The pre-operative pathological analysis of 153 lung cancer cases

通过对术后病理确诊为肺癌的１５３例患者的术前病理分析，术前病理确诊率为５７．５２％，其中痰检阳性率为２２．２２％，纤支镜检阳性率为４９．０２％。中央型显著高于周围型，鳞癌显著高于细支气管肺泡癌。纤支镜检不能替代痰检。主张如临床及Ｘ线诊断肺癌，患者又有手术条件，应积极行开胸探查，争取根治性切除。

The positive pre-operative pathological diagnostic rates of 153 lung cancer cases,which was confirmed by post-operative pathological examination is 57.52%. The positive rate of sputum examination is 22.22%, while of bronchoscopic examination is 49.02%. It is remarkably higher in the centrol type than that in the peripheral type, And it is notably higher in the squamous carcinoma than that in bronchiolar carcinoma. The bronchofibroscopic examination could not used to replace the sputum examination. The conclusion is that the exploratory thoracotomy for eradication of the lesion should be done in those who are suspected to be suffered from lung cancer by their clinical features and x-ray film, provided their condition could be undertaken the operation.