680例老年人肺癌纤维支气管镜检查分析  

Analysis of Fiberbrornchoscope for 680 Aged Patients with Lung Cancer

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

机构地区：[1]蚌埠医学院第一附属医院呼吸内科,安徽233004

出　　处：《安徽卫生职业技术学院学报》2010年第1期26-27,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:探讨老年人肺癌纤维支气管镜(纤支镜)镜下特征及其与组织学类型之间的相关性。方法:对680例老年肺癌患者纤支镜检查资料进行统计分析。结果:680例肺癌患者中中央型肺癌486例(71.5%),周围型肺癌194例(28.5%)。纤支镜镜下表现:管内增殖型155例(22.8%)、管壁浸润型136例(20.0%)、管外压迫型14例(2.1%)、混合型238例(35.0%)和正常型137例(20.1%);组织学类型以鳞癌最为常见,其次是小细胞癌,腺癌、未分型癌和其他类型肺癌。纤支镜镜下特征与肺癌组织学类型相关性有统计学意义(P<0.05)。结论:老年人肺癌以中央型多见,纤支镜镜下特征以增生型和混合型为主,组织学类型主要为鳞癌和小细胞癌,纤支镜检查在老年人肺癌诊断中具有重要价值。Objective：To investigate the correlation between the features of fibrobronchoscopy and the histology type in elderly patients with lung cancer.Methods：The fibrobronchoscopic data of 680 aged patients with lung cancer were analyzed retrospectively.Results：In 680 patients with lung carcinoma,the central bronchogenic carcinoma has 486 cases （71.5%） and the peripheral has 194 cases （28.5%）.The features under Bronchoscope were followed as：155 cases of proliferation in the trachea or bronchus （22.8%）,136 cases of infiltration on the trachea＇s or bronchus＇s wall （20.0%）,14 cases of oppression out of the trachea or bronchus （2.1%）,238 cases of mixed pattern （35.0%） and 137 cases of the normal （20.1%）.Base on the histology,the most common histology was the squamous cell carcinoma and then small cell carcinoma.The proportion the adenocarcinoma,atypical carcinoma and the other type.The features under the bronchoscope and the age could be related with the histology type,with statistical significance （P0.05）.Conclusion：In the aged patients with lung cancer,the most common was the central bronchogenic carcinoma in anatomic site,the features of bronchoscope were proliferation and mixed type,the histology type were squamous cell carcinoma and small cell carcinoma.Combining with age,the fibrobronchoscope examine has the important diadynamic value in the aged patients with lung cancer.

关 键 词：肺肿瘤 支气管镜检查 老年人 

分 类 号：R734.2[医药卫生—肿瘤]