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本文总结我们10年间经纤支镜诊断为肺癌的患者1245例,病理学检查阳性例数1102例其中鳞癌578例(52.45%),未分化癌274例(24.86%),腺癌213例(19.32%)未定型37例(3.35%)。讨论结果认为纤支镜检查对肺癌早期诊断,肿瘤定位、活检定性以及对选择治疗等均优于其它方法。并通过大量资料表明,凡具有可疑肺癌的临床症状及X线征象者均应及时进行纤支镜检查,特别是年龄在40岁以上,同时出现多项可疑临床症状及X线可疑征象者,其支气管肺癌的可能性极大。
This article summarized 1245 cases of lung cancer patients diagnosed by fiberbronchoscopy in 10 years. The number of positive cases of pathological examination was 1102 including 578 cases of squamous cell carcinoma (52.45%), 274 cases of undifferentiated carcinoma (24.86%), and 213 cases of adenocarcinoma ( 19.32%) 37 cases were undefined (3.35%). The results of the discussion suggest that bronchoscopy is superior to other methods in early diagnosis of lung cancer, tumor localization, biopsy characterization, and choice of treatment. Through a large amount of data, it is shown that all patients with suspicious lung cancer clinical symptoms and X-ray signs should be promptly performed fiber bronchoscopy, especially in the age of 40 years, there are a number of suspicious clinical symptoms and X-ray suspicious signs, Lung cancer is very likely.