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220例肺癌的支气管镜检查统计分析

         

摘要

Objective: To study the clinical characteristics of lung cancer related to the tumor location, age, gen-der 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% ) diag-nosed 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: Bron-choscopy was much helpful in diagnosis of the lung cancer. The age, pathology and tumor location of the lung cancer were different with gender.%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.

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