【摘要】 目的进一步探讨纤维支气管镜(简称纤支镜)在肺部疾病诊断中的作用。方法对1992年10月￣2003年10月共1253例纤支镜活检结果进行临床病理分析。结果1029例肺癌纤支镜下表现为:管内增生型579例(56.3%),管壁浸润型372例(36.2%)管外压迫型54例(5.2%)正常型24例(2.3%)。组织学类型以鳞癌最多,525例(51.0%),小细胞未分化癌337例(32.8%),腺癌141例(13.7%),支气管类癌2例(0.2%),小细胞未分化癌伴鳞癌2例(0.2%),未定型癌22例(2.1%)。40例支气管内膜结核纤支镜下表现为:黏膜充血、水肿12例(30.0%),黏膜糜烂、附有炎性渗出物4例(10.0%),乳头伴/息肉样肿块突向管腔13例(32.5%),支气管黏膜灰白粗糙有小结节隆起11例(27.5%)。170例支气管黏膜炎症纤支镜下表现为:黏膜充血、水肿、有的附有炎性渗出物151例(88.8%),管腔狭窄5例(2.9%),息肉样肿块突向管腔14例(8.2%)。结论纤支镜检查对肺部疾病诊断的准确率较高,且是肺部疾病鉴别诊断的重要手段之一,其为临床诊断及治疗提供了可靠的依据。更多还原

【Abstract】 To study the effect of Bronchoscope on diagnosis of lung diseases. The biopsic results acquired from bronchoscope of 1253 patients were collected and analysed from 1992, 10 to 2003, 10. 1029 cases of lung carcinoma′s feature under the Bronchoscope: 579 cases of proliferation in the wind pipe (56.3%), 372 cases of infiltration on the wind pipe wall (36.2%), 54 cases of oppression out the wind pipe(5.2%), 24 cases of the normal (2.3%). Base on the histology, the most was squamous cell carcinoma who were 525 cases (51.0%), 337 cases of small lung carcinoma (32.8%), 141 cases of adenocarcinoma of the lung (13.7%), 2 cases of bronchus carcinoid (0.2%), 2 cases of SCLC and squamous cell carcinoma (0.2%), 22 cases of atypical carcinima (2.1%). 40 cases of bronchus TB′s feature under the bronchoscope: 12 cases of mucosa hyperemia and swelling (30.0%), 4 cases of mucosa dissipation. Additional with inflammatory exudates (10.0%), 13 cases of papiuary or polypus tumor to bronchus Cavity (32.5%). 11 cases of bronchus mucosa grayish with little tubercular swelling (27.5%). 170 cases of bronchus mucosa inflammation′s feature under the bronchoscope: 151 cases of mucosa hyperemia, swelling or additional with exudates (88.8%), 5 cases of bronchus narrow (2.9%), 14 cases of polypus tumor to bronchus cavity (8.2%). [Conclusions] To diagnosis on lung disease, the accuracy rate of bronchoscope examine is higher, the Bronchoscope examine is one of the important methods on lung diseases differential diagnosis and offer reliable proof for clinical diagnosis and cure.更多还原