非小细胞肺癌146例诊断来源分析  

An analysis of diagnostic sources of 146 non-small-cell lung cancers

作　　者：谢晓冬[1] 刘艳梅[1] 郑振东[1] 刘大为[1] 刘永叶[1] 张冠中[1] 屈淑贤[1] 朴瑛[1] 单学健[1] 邢春景[1] 

机构地区：[1]沈阳军区总医院肿瘤科,辽宁沈阳110016

出　　处：《中国实用内科杂志》2006年第10期1537-1538,共2页Chinese Journal of Practical Internal Medicine

摘　　要：目的进一步规范非小细胞肺癌的诊断,为其治疗和判断预后提供依据。方法统计2002年2月至2005年8月沈阳军区总医院接受治疗的146例非小细胞肺癌的诊断结果。结果总体有完整病理诊断的123例,占84·2%。其中经手术获得病理诊断的42例,占28·8%;未手术的104例中,经痰细胞学检查、淋巴结针吸活检、胸腔积液细胞学和支气管镜获得诊断的分别为31例(21·2%)、18例(12·3%)、15例(10·3%)和11例(7·5%)。经临床诊断(无明确病理诊断,依据临床体征和影像学检查)的23例,占15·7%。结论在治疗前对非小细胞肺癌作出明确的病理诊断,会使治疗更准确无误,对判定肿瘤的发展和预后更有帮助。Objective To provide basis for treatment and prognosis judgement in order to further normalize diagnosis on non - small - cell lung cancer. Methods The diagnostic results of 146 cases with non - small - cell lung cancer were collected and analyzed. The patients received treatment in our department from Feb. 2002 to Aug. 2005, Results There were 123 cases of complete pathologic diagnosis, accounting for 84.2% of the total results; among other things there were 42 cases （28.8%） that obtained pathologic diagnosis through operation. There were respectively 31 cases （21.2%）, 18 cases （ 12. 3% ）, 15 cases （ 10. 3% ） and 11 cases （7. 5% ） that obtained diagnosis through phlegmy cytological examination, lymph node needle biopsy, hydrothorax cytology and bronchoscope among 104 cases without operation. There were 23 cases accounting for 15.7% through clinical diagnosis （ on the basis of clinical physical sign and video examination without definite pathologic diagnosis）. Conclusion To form a definite pathological diagnosis on tumors before treatment makes treatment be exact and helps to judge tumor development and prognosis.

关 键 词：非小细胞肺癌 病理诊断 

分 类 号：R5[医药卫生—内科学]