经支气管镜确诊肺癌患者病理类型与其基本临床特征的关系  

The Relationship between the Pathological Type and Basic Clinical Characteristics of the Patients with Lung Cancer Diagnosed by Bronchoscope

作　　者：郑圆圆[1] 彭云珠[2] 余泽明[1] 李薇[1] 

机构地区：[1]昆明医学院第一附属医院呼吸内科,云南昆明650031 [2]昆明医学院第一附属医院心内科,云南昆明650031

出　　处：《昆明医学院学报》2011年第10期94-97,共4页Journal of Kunming Medical College

摘　　要：目的探讨经支气管镜确诊肺癌患者组织学类型与性别、年龄、吸烟的关系.了解支气管镜诊断肺癌现状,为拓展运用支气管镜技术诊断呼吸系统恶性肿瘤奠定基础.方法选取225例经支气管镜检查且病理学明确诊断为肺癌患者的数据,进行统计学分析.结果经支气管镜确诊患者225例中,男性161例(71.6%),女性64例(28.5%);经支气管镜确诊病理类型包括鳞癌102例(45.3%)、腺癌58例(25.8%)、小细胞癌39例(17.3%)、其他类型肺癌26例(11.6%);男性鳞癌最高占52.2%(P<0.05),男性鳞癌高于女性(P<0.05).50～69岁患者鳞癌比例最高,为57.8%(P<0.01);不吸烟患者腺癌比例最高占40.7%(P<0.05),吸烟者鳞癌比例最高达59.0%(P<0.01),特别是吸烟指数大于400的患者更高为60.2%(P<0.01).结论鳞癌是支气管镜诊断率最高的病理类型;其次为腺癌.男性以鳞癌为主,高于女性;50～69岁鳞癌多见;不吸烟患者腺癌多见,吸烟患者鳞癌多见.Objective To explore the relationship between histological type and gender,age,as well as tobacco smoking of patients with lung cancer diagnosed by bronchoscope.To lay the foundation for expanding the use of bronchoscope in diagnosing all kinds of malignant tumor of respiratory system.Method We selected the data of 225 cases checked by bronchoscope and diagnosed with pathology of lung cancer in the First Affiliated Hospital of Kunming Medical College during 2008 to 2010 and statistically analyzed.Results In 225 cases diagnosed by bronchoscope,161 cases were male（71.6%）,64 cases were female（28.5%）.Pathological types confirmed by bronchoscope included 102 cases of squamous cell carcinoma（45.3%）,58 cases of adenocarcinoma（25.8%）,39 cases of small cell carcinoma（17.3%）,26 cases of other types lung cancer（11.6%）.Among male patients,squamous cell carcinoma was the highest proportion of 52.2%（P0.05）,and male was higher than female（P0.05）.Among the patients from the age of 50 to 69 years old,squamous cell carcinoma was the highest proportion of 57.8%（P0.01）.Adenocarcinoma was the highest proportion of 40.7% in never smokers（P0.05）,squamous cell carcinoma was the highest proportion of 59.0% in smokers（P0.01）,especially those with smoking index higher than 400 was even 60.2%.Conclusions Squamous cell carcinoma is the highest case diagnosed by bronchoscope,followed by adenocarcinoma case.Squamous cell carcinoma is the major case for male patients,and the incidence is higher than female patients.Squamous cell carcinoma is common for the patients from the age of 50～69 years old.Adenocarcinoma is common for smoking patients,Squamous cell carcinoma is common for non-smoking patients

关 键 词：肺癌 支气管镜 分析 

分 类 号：R734.2[医药卫生—肿瘤]