384例男性肺癌支气管镜下特征及临床特点分析  

Characteristics and analysis of clinical features of lung cancer diagnosed by bronchoscopy in 384 male 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：《临床肺科杂志》2011年第4期572-573,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨男性肺癌支气管镜下特征及临床特点。方法对384例男性肺癌患者支气管镜检查资料进行分析。结果 384例男性肺癌患者中鳞癌204例(53.13%),小细胞癌118例(30.73%),腺癌55例(14.32%),其他7例(1.83%)。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。均好发于右肺及双肺上叶。支气管镜下表现以直接征象为主占92.19%;鳞癌以增生性改变为主占70.59%;小细胞癌增生性改变稍高于浸润性改变;腺癌以浸润性改变为主占52.73%。结论男性肺癌的临床表现和镜下改变有一定的特殊性,了解上述规律,对临床有指导意义。Objective To study the characteristics of the bronchoscopy signs and the clinical features in male lung cancer patients.MethodsThe bronchoscopy data of 384 male lung cancer patients were analyzed retrospectively.ResultsThe most common histopathology was squamous cell carcinoma（53.13%）,followed by small cell carcinoma（30.73%）,and adenocarcinoma（14.32%）and the others（1.83%）.More cases of squamous cell carcinoma were examined in the old-aged group compared with the middle-aged group（χ2=4.0352,P0.05）,but fewer cases of small cell carcinoma（χ2=7.7671,P0.01）.The diseases were mainly located in the right lung and upper lobes.92.19% patients had direct signs.70.59% squamous cell carcino-ma had proliferative changes and 52.73% adenocarcinoma had infiltrative changes.There were more proliferative changes than infiltrative changes in small cell carcinoma.ConclusionsClinical features and bronchoscopy characteristics of male lung cancer patients have particularity,and knowing these points would be helpful to clinic.

关 键 词：支气管镜 肺癌 男性 临床特点 

分 类 号：R734.2[医药卫生—肿瘤]