516例肺癌支气管镜下特征及临床特点分析  

Clinical characteristics of lung cancer confirmed by bronchoscopy: An analysis of 516 patients

作　　者：张令晖[1] 王慧霜[1] 朱宝华[1] 余秉翔[1] 陈良安[1] 

机构地区：[1]解放军总医院呼吸科,北京100853

出　　处：《军医进修学院学报》2011年第3期233-235,共3页Academic Journal of Pla Postgraduate Medical School

摘　　要：目的探讨肺癌支气管镜下特征及临床特点。方法对516例经支气管镜确诊肺癌患者进行回顾性分析。结果 516例肺癌患者中男性384例,女性132例,男女比例2.91∶1。其中鳞癌237例(45.93%),小细胞癌158例(30.62%),腺癌110例(21.32%),其他11例(2.13%)。老年组与中年组比较,鳞癌检出率上升、小细胞癌检出率下降。肺癌好发于右肺,双肺上叶多于双肺下叶。支气管镜下表现以直接征象为主占89.15%;鳞癌、小细胞癌以增生性改变为主,分别占68.78%、53.16%;腺癌以浸润性改变为主占48.62%。结论肺癌临床表现缺乏特异性,气管镜检查是诊断肺癌的重要手段。Objective To study the clinical characteristics of lung cancer under bronchoscope.Methods Clinical characteristics of 516 patients with lung cancer confirmed by bronchoscopy were retrospectively analyzed.Results Of the 516 patients with lung cancer,384 were male and 132 were female（2.91：1）,237（45.93%）had squamous cell carcinoma,158（30.62%） had small cell carcinoma,110（21.32%）had adenocarcinoma,and 11（2.13%） had other tumors.The detection rate of squamous cell carcinoma was higher while that of small cell carcinoma was lower in old-aged group than in middle-aged group.The lung cancer was mainly located in the right lung and its incidence was higher in upper lobes than in lower lobes.Bronchoscopy showed direct signs of lung cancer in 89.15% patients,proliferative squamous cell carcinoma in 68.78% patients,proliferative small cell carcinoma in 53.16% patients,and infiltrative adenocarcinoma in 48.62% patients,respectively.Conclusion The clinical features of lung cancer are non-specific.Bronchoscopy is an important approach in diagnosis of lung cancer.

关 键 词：支气管镜 肺肿瘤 疾病特征 

分 类 号：R734.2[医药卫生—肿瘤]