目的:探讨电子支气管镜在肺癌诊断中的价值。方法:对233例支气管镜下诊断肺癌的患者进行分析。结果:电子支气管镜下肺癌的诊断率为63.49%,其中中央型肺癌的诊断率为72.85%,周围型肺癌的诊断率为27.63%,该组病例以老年人多见, 肿瘤多位于叶支气管,右肺57.51%, 左肺42.49%,病理类型为鳞癌45.92%, 小细胞癌22.75%, 腺癌24.03%。电子支气管镜下主要特征:鳞癌以管内增殖型改变为主,表现为新生物形成,阻塞管腔,伴有糜烂、充血、水肿,小细胞癌以增殖型和浸润型为主,可见气管内新生物形成及节结样改变。腺癌以管内增殖型和肿块压迫管腔为主,可见管内新生物形成或支气管呈缝隙样狭窄,甚至闭塞。结论:与周围型肺癌相比电子支气管镜检查对中心型肺癌诊断的准确率较高, 其检查方法简单, 创伤性小, 是正确指导临床医生选择合理治疗方法的一种较好的辅助检查技术。
Citation：
CHEN Liping,YANG Xiaohong,CHEN Ying,et al.. Analysis of Electric Bronchoscope Diagnosis Centrally Located Lung Cancer. West China Medical Journal, 2009, 24(9): 2328-2330. doi:
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Copyright © the editorial department of West China Medical Journal of West China Medical Publisher. All rights reserved
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-537.
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- 1. 内镜杂志,2005,1(11):103- 104.
- 2. 郑晓英,付大海,张晓文,等.经纤维支气管镜诊断肺癌1721例分析[J].中国内镜杂志,2003, 6(9):89.
- 3. 诸葛毅,骆利康.151例老年人肺癌纤维支气管镜检查的临床与病理分析[J].中国.
- 4. 曾峰,肖伟民.中央型肺癌纤维支气管镜检查特征分析[J].广东医杂志,2003,5(24):.
- 5. DAVID R, SANDERSON. Bronchoscopic Localization of Radiographically Occult Lung Cancer[J]. Chest, 1974,65(6): 608 -612.
- 6. 彭勃,全彩娟.纤支镜对呼吸系统疾病临床应用价值的分析[J].临床肺科杂志,2004, 4(9):347- 349.
- 7. MARC NOPPEN, KRIS POPPE. Interventional Bronchoscopy for Treatment of Tracheal Obstruction Secondary to Benign or Malignant Thyroid Disease[J]. Chest, 2004,125(2): 723- 730.
- 8. -537.
