纤维支气管镜诊断原发性支气管癌911例分析

Diagnosis of Bronchial Carcinoma by Fibroptic Bronehoscopy: Analysis of 911 Cases

本文分析了纤维支气管镜检查2222例中911例肺癌的镜下特点、癌的发生部位、纤镜对肺癌的诊断率、镜检中刷检、活检的方式。探讨了X线摄片诊断肺癌的敏感性和准确性。

911 cases of primary primary bronchogenic carcinoma diagnosed with bronchoscopy and confirme by cytological study were analysed. The technic, indication for bronchoscopy and routines for pre-examination were described. 68.0% of the patients were 40～59 years of age, mostly occurring in upper lobes of the lungs (48.2). The pathological characteristics under bronchoscopy, the sensitivity and positive rate of diagnosis with Ⅹ-ray examination were discussed. Patients who had cough as the only symptom constituted 18.2%. The ways of biopsy were presented and discussed. The positive rate of biopsy was 87.9%and coincidence of bronchoscopical and pathological diagnosis was 95.3%.