经纤维支气管镜确诊的支气管肺癌的临床研究  

Clinical study of lung cancer diagnosed through bronchoscope

作　　者：张淑香[1] 张锦[1] 

机构地区：[1]宁夏医学院附属医院呼吸内科,银川750004

出　　处：《国际呼吸杂志》2007年第8期561-563,共3页International Journal of Respiration

摘　　要：目的评价纤维支气管镜检查对支气管肺部肿瘤的诊断价值。方法回顾性分析宁夏医学院附属医院呼吸内科支气管镜室1984～2002年1882例经纤维支气管镜确诊的支气管肺癌患者的特点。结果①支气管肺癌的发病率随年龄增长而增高，其中60～69岁年龄段发病率最高（36．1％）。②男性多于女性，男女之比为3．56：1；近20年男女患者比例无明显变化。鳞癌、小细胞癌、大细胞癌男性均明显多于女性，而腺癌男女性别比例差异不大。③职业以工人、农民所占比例最高，分别占37．6％和35．5％。④鳞癌、小细胞癌好发于上叶，而腺癌好发于下叶。⑤病理以鳞癌所占比例最高（59．6％），小细胞癌次之（22．6％），腺癌较少（6．8％）。鳞癌、小细胞癌均以增殖型为主，腺癌以浸润型为多。结论①纤维支气管镜是确诊支气管肺癌的一个重要手段。②肺癌的发病率逐年升高，60岁以上者最为明显。男女两性发病比例逐步缩小。③肺癌好发于上叶，以鳞癌为主。鳞癌、小细胞癌镜下以增殖型多见，腺癌镜下以浸润型多见。Objective To determine the value of bronchoscope in the diagnosis of lung cancer in order to improve the rate of detection and diagnosis. Methods Retrospectively analsis was conducted on 1882 cases of lung cancer diagnosed through bronchoscope in the respiratory department of Ningxia Medical Collage during 1984 to 2002. Results （1）The incidence of lung cancer was increasing with age. The most susceptive age was 60 to 69 （36.1%）. （2）The incidence of lung cancer in male was higher than female. The ratio was 3.56 ： 1. There was no significant difference between male and female lung cancer patients in proportion during recent 20 years. The men were susceptive to squamous cell carcinoma, small cell carcinoma and large cell carcinoma, whereas there was no significant difference of adenocarcinoma incidence between men and women. （3）Workers and farmers had higher incidence of lung cancer, respectively 36.7 % and 35.5 %. （4）The squamous cell carcinoma and small cell carcinoma mainly located on the upper lobe,whereas adenocarcinoma frequently located on the lower lobe. （5）The histological types were dominated by squamous cell carcinoma （59.5 %）, secondly small cell carcinoma （22.6 % ） and the third adenocarcinoma （ 6.9 % ）. The presentation under bronchoscope in squamous cell carcinoma and small cell carcinoma was characterized as hyperplasia, secondly to infiltration of lumen wall. However adenocarcinoma was characterized as infiltration of lumen wall. Conclusions （1）Bronchoscope is a very important method in diagnosis of lung cancer. （2）The incidence of lung cancer has increased which mainly occurred in age 60 to 69. （3）The lung cancer mainly derived from the upper lobe. The most common histological type was characterized as squamous cell carcinoma. The presentation under bronchoscope of squamous cell carcinoma and small cell carcinoma mostly expressed hyperplasia whereas adenocarcinoma expressed infiltration

关 键 词：纤维支气管镜 支气管肺癌 

分 类 号：R734[医药卫生—肿瘤]