纤支镜检查对青年人肺癌的诊断价值  

Diadynamic Value of Fiberbrornchoscope on 111 Cases of Youth Lung Cancer

作　　者：李殿明[1] 李翠侠[1] 胡俊锋[1] 夏雪梅[1] 张义宏[1] 刘超[1] 陈余清[1] 

机构地区：[1]安徽省蚌埠医学院第一附属医院呼吸病科,233004

出　　处：《实用全科医学》2007年第5期385-386,共2页Applied Journal Of General Practice

摘　　要：目的探讨青年人肺癌患者的临床和纤支镜检查的特征。方法对111例39岁以下青年人肺癌纤支镜检查资料进行回顾性分析。结果青年肺癌患者占同期肺癌的6.55%,男女比例为1.47/1;95.50%的患者X线检查发现肺部肿块影、片状模糊影、肺不张等;发生部位右肺多于左肺,肺门及上肺最常见;纤支镜下改变以直接征象占80.18%,间接征象占18.02%,镜下未见异常占1.8%;组织学分型以小细胞癌居首位41例(36.94%),差分化癌32例(28.83%),鳞癌23例(20.72%),腺癌14例(12.61%)和原位癌1例(0.9%)。结论青年人肺癌临床表现无特殊性而易误诊,应提高对青年肺癌的警惕性,纤支镜检查有助于早期发现和确诊。Objective To study the clinical characteristics and the features of fibrobronchoscopy in lung cancer patients under 39 years of age. Methods We analysed retrospectively the fibrobronchoscopic data of 111 young lung cancer patients. Results The proportion of young patients with lung cancer in all lung cancer patients was 6.55%, The male/female ratio was 1.47/1. The lung tumor, slabby vague and pulmonary atelectasis were detected in the 95.5% patients, right lung cancer is more than left lung. The hilus of lung and upper lobes were the most common regions; The most frequent histologic types was small cell carcinoma （36.94%）, followed by squamous cell carcinoma （20.72%） and adenocarcinoma （ 12, 61% ）, and carcinoma in situ. Among 111 young lung cancer patients, 80.18% had direct sign, 18.02% had indirect sign. Conclusions Lung cancer in young patients is prone to be misdiagnosed as pneumonia or tuberculosis. Therefore, it is necessary to pay more attention to the lung cancer of young patients.

关 键 词：肺肿瘤 支气管镜检查 青年 

分 类 号：R743.2[医药卫生—神经病学与精神病学] R768.1[医药卫生—临床医学]