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本组纤维支气管镜刷片确诊,经病理及临床证实为肺癌的94例,就纤维支气管镜下表现与细胞分型进行了对照观察,鳞癌47例(50％),腺癌20例(22.24％),未分化癌15例(15.19％),未分型癌12例(12.77％)。纤维支气管镜下所见:粘膜充血肿胀23例,管腔狭窄13例,分泌物多,溢血7例,未见异常改变51例。并结合发病年龄及临床特点进行了分析和讨论,结果表明纤维支气管镜细胞学刷片检查对肺癌诊断有特殊价值。另外就盲刷问题进行了探讨,强调要重视盲刷,以便早期诊断,早期治疗。
This group of patients diagnosed with fiberoptic bronchoscope brush, 94 cases of pathological and clinically confirmed lung cancer, under the fiber bronchoscopic performance and cell type comparison observed, squamous cell carcinoma in 47 cases (50%), adenocarcinoma in 20 cases (22.24 %), undifferentiated carcinoma in 15 cases (15.19%), undifferentiated carcinoma in 12 cases (12.77%). Under the fiberoptic bronchoscopy, there were 23 cases of mucosal hyperemia, 13 cases of luminal stenosis, more secretions, 7 cases of haemorrhage, and 51 cases without abnormal changes. Combined with the age of onset and clinical characteristics, the analysis and discussion were carried out. The results showed that the fiberoptic bronchoscopy cytology brush examination had special value in the diagnosis of lung cancer. In addition, the issue of blind brushing was discussed, emphasizing the importance of blind brushing for early diagnosis and early treatment.