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本文报道8例原发性气管肿瘤,占同期肺部肿瘤病人1.91%(8/418)。对其临床特点及X线、CT、纤支镜及病理所见进行分析。认为X线检查对气管肿瘤诊断价值不大,颈部及胸部CT扫描是无创性检查的重要诊断手段。纤支镜检查不但能直接地看到肿瘤所在部位,形态,大小和范围,管腔阻塞的情况,还能行病理诊断,具有确诊价值。但有一定危险性,必须在有监护条件和有急救措施的手术室中进行。
This article reports 8 cases of primary tracheal tumors, accounting for 1.91% (8/418) of lung cancer patients at the same time. Its clinical features and X-ray, CT, bronchoscopy and pathological findings were analyzed. It is considered that the X-ray examination has little diagnostic value for tracheal tumors. CT scans of the neck and chest are important diagnostic tools for non-invasive examination. Fiberoptic bronchoscopy can not only directly see the location, shape, size and range of the tumor, lumen obstruction, but also pathological diagnosis, with a definite diagnosis value. However, there is a certain degree of danger that must be performed in an operating room with guarded conditions and first-aid measures.