对不宜手术的支气管癌为避免用外科手术方法诊断,作者采用针吸术。经纤维光束支气管镜(简称纤镜)借助可曲性针,吸取支气管旁、肺门及隆凸下组织,每处吸2至3次,换吸他处时另换吸针,标本送细胞学检查。本文报告1981年1～9月共检查35例,年龄29～91岁,按胸片和纤镜结果分组。1组诊断组:全体病例过去曾作1或多次纤镜,包括经支气管钳活检(简称钳检),支气管刷(简称刷检)及冲洗皆未确诊。常规胸片或计算机断层摄影纵隔有异常,部分病例平片有原发性实质性病变,作纵隔部针吸,刷检及钳检亦未确诊。2组分期组:全体病例过去诊断实质性病变,评价纵隔病变及分期;尚未确诊的实质病变者,经纵隔针吸,钳检或刷检取样确诊。3组评价疗效组:全体为小细胞肺癌,评价疗效。4组支气管 For inoperable bronchial carcinoma To avoid the use of surgical methods for diagnosis, the authors used needle aspiration. The fiber-optic bronchoscope (abbreviated as the fiberscope) draws the bronchus, hilum, and subcarinal tissue with the aid of a flexible needle, sucks two or three times at each point, and replaces the suction needle when changing suction, and the specimen is sent to the cytology. an examination. This article reports 35 cases from January to September 1981, aged 29 to 91 years old, according to the results of chest radiograph and fiberscope group. Group 1 diagnosis group: All cases had previously performed one or more fiberscopes, including transbronchial clamp biopsy (referred to as clamped examination), bronchial brush (abbreviated as brushing) and flushing were not confirmed. Conventional chest radiographs or computed tomographs have abnormalities in the mediastinum, and in some cases, there are primary substantive lesions on plain films, needles on the mediastinum, brush examinations, and clamps have not been diagnosed. Two-component group: All cases were diagnosed as substantive lesions in the past, and mediastinal lesions and staging were evaluated. Patients with undiagnosed parenchymal lesions were diagnosed by septal needle aspiration, clamp or brush test. Three groups were evaluated for efficacy: All were small cell lung cancer and evaluated for efficacy. 4 groups of bronchi