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我院自1979年11月至1992年12月共做纤维支气管镜检查3425例,经纤维支气管镜检查发现肺癌患者741例,其中35岁以下者30例(4％),X线表现为肿块型者14例(47％),炎症型8例(27％),肺不张6例(20％),弥漫型1例(3％),胸膜受累1例(3％),25例为中心型(83.3％),5例为周围型(16.7％),纤维支气管镜检查所见28例(93％)为腔内肿物完全或部分阻塞,呈息肉状或菜花状,仅两例为管壁浸润型(7％),30例中17例病理检查阳性,其中鳞状上皮癌8例(47％),腺癌5例(29％),未分化癌4例(24％)。
From November 1979 to December 1992, 3625 cases of fiberoptic bronchoscopy were performed in our hospital. 741 cases of lung cancer were found by fiberoptic bronchoscopy. Among them, 30 cases (4%) were under 35 years of age, and the X-ray findings were of mass type. 14 patients (47%), 8 patients with inflammatory disease (27%), 6 patients with atelectasis (20%), 1 patient with diffuse disease (3%), 1 patient with pleural involvement (3%), and 25 patients with central type (83.3%), 5 cases were peripheral (16.7%), 28 cases (93%) seen by fiberoptic bronchoscopy were complete or partial obstruction of luminal mass, showing polypoid or cauliflower, only two cases were tube wall Infiltrative (7%), 30 of the 17 cases of positive pathological examination, including 8 cases of squamous cell carcinoma (47%), 5 cases of adenocarcinoma (29%), 4 cases of undifferentiated carcinoma (24%).