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目的 :探讨纤维支气管镜 (纤支镜 )检查对胸片、肺CT均正常的支气管肺癌的诊断价值。方法 :回顾性分析 10例胸片、肺CT均正常的支气管肺癌的临床特点及纤支镜下表现。结果 :主要临床表现为咳嗽、痰中带血、胸闷、活动后气急、肺部呼吸音减弱、局限性哮鸣音、细湿罗音或无明显异常。镜下主要表现为沿气管、支气管腔内生长的菜花样或息肉样肿物 7例 ,肿物沿管壁浸润生长 3例 ;病理分型 :鳞癌 7例 ,腺癌 2例 ,小细胞癌 1例。结论 :纤支镜检查是诊断胸片、肺CT均正常的支气管肺癌的最重要的方法。
Objective : To investigate the diagnostic value of fiberoptic bronchoscopy (bronchoscopy) for bronchial lung cancer with normal chest and lung CT. Methods : The clinical features and bronchoscopic findings of 10 cases of normal lung cancer with CT and chest CT were retrospectively analyzed. Results: The main clinical manifestations were cough, sputum with blood, chest tightness, shortness of breath after activity, weakened breath sounds in the lungs, localized wheezing, fine wet rales or no obvious abnormalities. Microscopically, there were 7 cases of cauliflower or polypoid masses growing along the trachea and bronchial cavity. Tumors were infiltrated along the wall of the tumor in 3 cases. Pathological types included 7 cases of squamous cell carcinoma, 2 cases of adenocarcinoma, and small cell carcinoma. 1 case. Conclusion: Fibrobronchoscopy is the most important method for the diagnosis of bronchial lung cancer with normal chest radiograph and lung CT.