目的 :总结分析纤支镜对 1934例肺癌和 36例肺结核的诊断与鉴别诊断。方法 :采用顾性分析进行探讨。结果 :13年间对 5 330人次进行检查 ,确诊肺癌 1934例 ,均有病理或细胞学证实 ,中心型肺癌 15 76例 ,周围型肺癌 35 8例。确诊肺结核 36例 ,均经病理或细菌学证实 ,支气管内膜结核 2 5例 ,镜下未见异常 11例。结论 :纤支镜检是确诊肺癌和肺结核的重要检查手段 ,其镜下独物表现与病理类型有着一定的关联 ,为临床诊断及治疗提供了可靠依据 OBJECTIVE: To summarize and analyze the diagnosis and differential diagnosis of 1934 cases of lung cancer and 36 cases of pulmonary tuberculosis. Methods: Using the analysis of consultants to explore. Results: A total of 5330 lung cancer cases were examined during the 13 years. A total of 1934 lung cancer cases were diagnosed by pathology or cytology. There were 1576 cases of central lung cancer and 358 cases of peripheral lung cancer. 36 cases of diagnosed pulmonary tuberculosis were confirmed by pathology or bacteriology, 25 cases of endobronchial tuberculosis, no abnormalities in 11 cases. Conclusion: Fiberoptic bronchoscopy is an important diagnostic tool for the diagnosis of lung cancer and pulmonary tuberculosis. The microscopic appearance of the biopsy and pathological type are related to each other and provide a reliable basis for clinical diagnosis and treatment