经纤维支气管镜确诊的不同病理类型支气管肺癌的临床研究  

Clinical study of lung cancer with different types of pathology diagnosed through bronchoscope

作　　者：张淑香[1] 周玮[1] 谭海[1] 尹梅[1] 

机构地区：[1]宁夏医学院附属医院呼吸科,宁夏银川750004

出　　处：《中国内镜杂志》2007年第9期966-968,共3页China Journal of Endoscopy

摘　　要：目的评价不同病理类型的支气管肺癌的临床特点和纤维支气管镜下不同的表现以及纤维支气管镜下所见与病理类型的关系。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镜下所见以及不同病理类型的性别、年龄、吸烟指数、临床表现及镜下表现等分布特点。结果经纤维支气管镜确诊的鳞癌、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;鳞癌、小细胞癌好发于上叶,而腺癌好发于下叶;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。结论不同病理类型的支气管肺癌的临床特点、镜下所见均有所不同。[Objective] To study the clinical features and the imagine under the bronchoscope of lung cancer with different types of pathology. [Methods] We retrospectively analyzed the gender, age, index of smoking, clinical manifestation, pathological presentation and the distributive feature in 1882 cases of lung cancer that diagnosed through bronchoscope in the respiratory department of Ningxia medical collage during 1984 to 2002. [Results] The patiens were susceptive to squamous cell carcinoma, small cell carcinoma and large cell carcinoma, where as there was no significant differences of adenocarcinoma incidence between men and women. The squamous cell carcinoma and small cell carcinoma mainly located on the upper lobe, whereas adenocarcinoma frequently located on the lower lobe. The histological types dominated by squamous cell carcinoma （59.6%）, secondly small cell carcinoma （22.6%） and the third adenocarcinoma （6.8%）. 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] Long cancer of different type of pathology has different clinical manifestations and different features under the bronchoscope.

关 键 词：纤维支气管镜 支气管肺癌 

分 类 号：R734.2[医药卫生—肿瘤]