经电子支气管镜检查确诊肺癌66例临床分析  

Clinical analysis of 66 cases of lung cancer diagnosed by electronic bronchoscopy

作　　者：芮晓艳[1] 芮兵[2] 张艳喜[1] 

机构地区：[1]滁州市第一人民医院呼吸内科,安徽滁州239000 [2]滁州市第一人民医院放射科,安徽滁州239000

出　　处：《中国医学前沿杂志（电子版）》2016年第8期64-67,共4页Chinese Journal of the Frontiers of Medical Science(Electronic Version)

基　　金：安徽省科学技术项目(09-339)

摘　　要：目的探讨经电子支气管镜检查确诊肺癌患者的临床特征。方法回顾性分析2013年3月至2016年3月本院收治的经电子支气管镜检查确诊的66例肺癌患者的临床资料。结果经电子支气管镜活检阳性率(95.6%)明显高于刷检阳性率(74.2%)(P<0.05)。66例患者中,男56例,女10例;病理类型依次为:鳞癌(66.7%)、小细胞癌(15.1%)、腺癌(10.6%)及其他(7.6%)。男性患者鳞癌比例(76.8%)高于女性(10.0%),女性患者腺癌比例(50.0%)高于男性(3.6%)。结论电子支气管镜检查对肺癌的确诊具有重要意义,不同性别的肺癌患者病理类型各有差异;提高电子支气管镜检查水平可有效提高肺癌的诊出率,同时电子支气管镜检查并发症少,安全可靠,值得临床推广应用。Objective To investigate the clinical characteristics of lung cancer patients diagnosed by electronic bronchoscopy. Method The clinical characteristics and examination data of 66 cases of patients with lung cancer diagnosed by electronic bronchoscopy from March 2013 to March 2016 in our hospital were retrospectively analyzed. Result The positive rate of biopsy by electronic bronchoscopy（95.6%） was significantly higher than the positive rate of brush biopsy（74.2%）（P〈0.05）. In 66 patients, 56 cases were male and 10 cases were female. The pathological types were squamous cell carcinoma（66.7%）, small cell carcinoma（15.1%）, adenocarcinoma（10.6%） and others（7.6%）. The proportion of patients with squamous cell carcinoma in male（76.8%） were higher than female（10.0%）, and the proportion of female patients with adenocarcinoma（50.0%） were higher than male（3.6%）. Conclusion The significance of electronic bronchoscopy for the diagnosis of lung cancer is very important. The histological type of lung cancer patients are differences among different gender. The improvement of electronic bronchoscopy technique can improve the diagnosis of lung cancer. Electronic bronchoscopy for the diagnosis of lung cancer is safe and reliable with few complications, which is worthy of clinical application.

关 键 词：电子支气管镜检查 腺癌 鳞癌 

分 类 号：R734.2[医药卫生—肿瘤]