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总结纤维支气管镜诊断支气管肺癌的诊断要点。方法：采用回顾性分析讨论。结果：２２年间对４０６１人次进行检查，７５９例拟诊为肺癌。中央型肺癌６５５例（８６．３％），周围型１０４例（１３．７％）。经活检和／或刷检获取病理、细胞学诊断６４９例（８５．５％）。镜下肉眼分型：增生型３９７例（５２．３％），浸润型２３８例（３１．４％），外压型１０１例（１３．３％）。肿瘤与支气管粘膜的生长关系可初步了解它的病理类型，粘膜皱襞的变化可了解肿瘤不同的浸润形式。肿瘤呈管壁浸润及周围型病灶建议先刷检后活检。表达气管、主支气管受侵范围以计数软骨环较为正确、方便。结论：纤维支气管镜对肺癌的诊断、鉴别诊断有重要意义，可为外科手术切除术式的选择提供有益的帮助。
Conclusion Bronchoscopy diagnosis of bronchial lung cancer diagnosis points. Methods: Retrospective analysis and discussion. Results: In the past 22 years, 4061 people were examined and 759 were diagnosed as lung cancer. 655 cases of central lung cancer (86.3%), 104 cases of peripheral type (13.7%). After biopsy and / or brushing for pathological diagnosis, cytology 649 cases (85.5%). Macroscopic classification: 397 cases (52.3%) were hyperplastic, 238 (31.4%) infiltrated and 101 (13.3%) external pressure. Tumor and bronchial mucosal growth relationship can be a preliminary understanding of its pathological type, changes in mucosal folds can understand the different forms of tumor invasion. Tumor was infiltrated wall and surrounding lesions recommended first brush after biopsy. Expression of the trachea, the main bronchial invasion range to count the cartilage ring is more correct and convenient. Conclusion: Fiberoptic bronchoscopy is of great significance in the diagnosis and differential diagnosis of lung cancer, which may provide useful help for the selection of surgical resection.