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目的探讨纤维支气管镜在肺癌诊断及治疗中的作用。方法对1998年1月～2005年1月经纤维支气管镜检查下活检或刷检并经病理或细胞学诊断为肺癌的86例患者进行临床特点及结果分析。结果管内增生型占46．5%,管壁浸润型占39．5%,管外压迫型占8．1%,正常型占5．8%;经病理检查证实,管内增生型及管壁浸润型均以鳞癌多见,分别占52．5%及42．5%。结论纤维支气管镜对肺癌诊断的准确率较高,其检查方法简单,创伤性小,是正确指导临床医生选择诊断肺癌的最佳方法之一。
Objective To investigate the role of bronchofibroscopy in the diagnosis and treatment of lung cancer. Methods From January 1998 to January 2005, 86 patients who underwent biopsy or brush biopsy under fiberoptic bronchoscopy and pathologically or cytologically diagnosed as lung cancer were analyzed for clinical features and results. Results Tubular hyperplastic type accounted for 46.5%, wall infiltration type accounted for 39.5%, tube compression type accounted for 8.1%, normal type accounted for 5.8%; confirmed by pathological examination, tube hyperplasia and wall infiltration Squamous cell carcinoma were more common, accounting for 52.5% and 42.5%. Conclusion The accuracy of fiberoptic bronchoscopy in the diagnosis of lung cancer is high, and the examination method is simple and traumatic. It is one of the best ways to guide clinicians to choose the diagnosis of lung cancer.