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作 者:穆媛媛[1]
机构地区:[1]汉中市人民医院呼吸科支气管镜室,陕西汉中723000
出 处:《现代肿瘤医学》2012年第11期2289-2291,共3页Journal of Modern Oncology
摘 要:目的:分析支气管镜检出肺癌的发病年龄、性别与病变部位及病理类型的关系。方法:对2008年-2011年确诊为肺癌的220例纤维支气管镜检查的资料进行回顾性分析。结果:镜下活检病理确诊为肺癌220例,肺癌检出率为测检1126人次的19.5%,年龄19-80岁,平均60.11岁,发病高峰在51-70岁者146例(66.36%)。男女3.89∶1,年龄越高,男性患者越多;青年(≤40岁)肺癌11例(5%),男女1.2:1;老年(>60岁)肺癌113例(51.36%),男女6.53∶1;鳞癌104例(47.27%),男性92例(52.67%),明显高于女性;而女性腺癌14例(31.11%),明显高于男性;无论男女,其病变均以右肺多于左肺,上叶多于下叶;唯右肺中叶女性病变高于男性。结论:支气管镜检活检对肺癌的诊断有重要意义,不同性别的肺癌患者其发病年龄、病理类型及病变部位有差异。Objective:To study the clinical characteristics of lung cancer related to the tumor location,age,gender and pathology of patients bronchoscopically.Methods:The clinical findings of 220 cases with lung cancer detected by bronchoscopy from 2008 to 2011 were studied retrospectively.Results:Of the total 1126 cases bronchoscope,220 cases were detected as lung cancer pathologically;the detection rate of lung cancer was 19.5%.The age ranged from 19 to 80 years old with an average age of 60.11 years old.The majority of the patients(146 cases,66.36%) diagnosed as lung cancer were in their ages of 51 to 70 years old.The ratio of male-to-female in total was 3.89:1.It showed that the older the higher incidence of the dis∶ease in male.The ratio of male to female in young patients(11 cases) and old patients(113 cases) was 1.2∶1 and 6.53:1 respectively.The majority of pathological type of lung cancer was squamous cell carcinoma(104 cases).It appeared as a high percentage(92 cases,52.67%)in male group.On the contrast,Adenocarcinoma of the female patients reached to 14 cases(31.11%).The tumor located in right lung and upper lobe was much more than left lung and lower lobe in both male and female.Conclusion:Bronchoscopy was much helpful in diagnosis of the lung cancer.The age,pathology and tumor location of the lung cancer were different with gender.
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