肺癌纤维支气管镜检查662例临床分析  

A Clinical Analysis of Flexible Fiberbronchoscopy of 662 Cases of Lung Cancer

作　　者：傅完珍[1] 殷凯生[1] 

机构地区：[1]南京医科大学第一附属医院呼吸内科

出　　处：《南京医科大学学报（自然科学版）》1997年第6期600-602,共3页Journal of Nanjing Medical University(Natural Sciences)

摘　　要：报道８２０例纤维支气管镜检查病例，经病理证实肺癌６６２例，诊断率达８０．７３％。并就其临床表现、纤支镜检查所见和病理学改变等进行分析。结果表明，肺癌发生率随年龄增长呈上升趋势，以６０岁以上为发病高峰，男女之比为５．７５∶１，右肺多于左肺。肺上叶为多发部位，病理活检结果以鳞癌（４８．４８％）占首位，腺癌（２１．４５％）占第２位，小细胞未分化癌居第３位。并指出钳检、刷检、镜后痰检三者结合可提高阳性率。This paper reported 820 cases examined by flexible fiberoptic bronchoscopy, among them 662 cases were pathologically confirmed as lung cancer (80.73%). An analysis of clinical symptoms, fiberoptic observations and pathological changes showed that incidence increased with age with those above at the peak. The ratio between males and females was 5.75∶1. The focus of lung cancer was mostly on the right lung and upper lobe. Pathological biopsy revealed that the squamous cell cancer ranked first (48.48%), adenocarcinoma second (21.45%), and the small cell cancer third (1661%). The combination of biopsy, brushing and sputum examination could improve the diagnosis.

关 键 词：肺癌 纤维支气管镜 诊断率 

分 类 号：R734.204[医药卫生—肿瘤]