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目的 :进一步探讨支气管内肿物的病因 ,以提高临床纤支镜检查的诊断准确性。方法 :回顾性分析我院从1995年 1月～ 1998年 10月经纤支镜检查发现支气管内肿物的 2 70例患者的临床资料。结果 :支气管内肿物的病因主要为原发性中央型肺癌 (2 30 / 2 70 )、结核 (17/ 2 70 )、炎症肉芽肿 (7/ 2 70 )、异物 (4 / 2 70 )、结石 (2 / 2 70 )。在纤支镜下肿物主要表现为桑椹样或息肉样改变型 (15 4/ 2 70 )、坏死物覆盖型 (96 / 2 70 )、表面光滑型 (2 3/2 70 )。纤支镜总诊断率 92 .3 % ,其中肺癌确诊率 93 .9% ,结核 82 .4%、炎症肉芽肿、异物、结石均 10 0 %。结论 :支气管内肿物在纤支镜下有一定的形态学特征 ,而纤支镜活检是确诊的主要方法
Objective: To further explore the etiology of intrabronchial tumor in order to improve the diagnostic accuracy of clinical bronchoscopy. Methods: A retrospective analysis of our hospital from January 1995 to October 1998 by bronchoscopy found bronchial tumor in 270 cases of clinical data. Results: The main causes of endobronchial tumor were primary central lung cancer (2 30/2 70), tuberculosis (17/2 70), inflammatory granuloma (7/2 70), foreign body (4/2 70) Stone (2/2 70). The majority of bronchoscopic lesions were mulberry-like or polypoid-like (15 4/2 70), necrotic covering (96/2 70), and smooth surface (2 3/2 70). Bronchoscopy the total diagnostic rate of 92.3%, of which 93.9% confirmed lung cancer, tuberculosis 82.4%, inflammatory granuloma, foreign body, stones were 100%. Conclusion: The intrabronchial tumor has some morphological features under the bronchofibroscopy. Fiberoptic biopsy is the main method of diagnosis