228例肺癌在纤支镜下的形态特征分析

目的：了解肺癌在纤支镜下的形态特征。方法：采用纤维支气管镜、病理学等方法对228例患者进行了观察。结果：经纤维支气管镜确诊支气管肺癌228例，占同期纤支镜检查的38.1%。其中143例（62.7%)可见肿瘤直接征象，即新生肿物；75例（32.9%)可见肿瘤的间接征象，在可见肿瘤直接和间接征象的218例中鳞癌147例（67.4%)，腺癌32例（14.7%)，小细胞癌14例（6.4%)，大细胞癌2例（0.9%)，肺泡癌4例（1.8%)。此外还有细胞类型不明确者19例（8.7%)。结论：（1）肺腺癌患者男性仍稍多于女性；（2）肺癌是纤维支气管镜检查的重要适应征。

Analysis of the Characteristics of Bronchogenic Carcinoma Under Fiberbronchoscopy of 228 Cases With Lung Cancer

Objective:The characteristics of bronchogenic carcinoma under fiberbronchoscopy.Methods:Fiberbronchoscopy,pathological examination of biopsy specimens.Results:228 of bronchogenic carcinoma proved by fiberbronchoscopy and biopsy were reported.Direct signs of cancer ie.neoplastic masses of bronchogenic carcinoma were found in 143 patients(62.7%) and indirect signs in 75 cases(32.9%).In the 218 cases showing direct or indirect signs of cancer,squamous cell carcinoma was confirmed in 147 cases (67.4%),small cell lung cancer in 14 patients(6.4%) and adenocarcinoma in 32 subjects(14.7%).Large cell undifferentiated carcinoma,pulmonary alveolar carcinoma were confirmed in 2(0.9%).and 4 cases(1.8%)respectively.ln addition,the pathological findings in 19 patients did not conform to any cell type of the lung cancer.Conclusion:(1)Male cases were more than female in pulmonary adenocarcimoma;(2)The lung cancer was an important indication in the examination of fiberbronchoscopy.