摘要
目的 探讨肺癌患者纤维支气管镜下病灶分布部位及形态与病理类型关系。方法 通过对明确诊断肺癌的 2 6 2例患者的资料进行对比分析。结果 中心型肺癌分布在主支气管及双侧上叶上升支较多 (占 5 8.8% ,P <0 .0 5 ) ,其次为左舌段、右中间支气管和右中叶 (占 2 1.4 % ) ,双侧下叶 (占 2 6 .3% ) ;鳞癌在中心型肺癌中所占比例最大 (占 6 0 .3% ) ,腺癌比例最小 (占8.4 % ) ;鳞癌镜下以粘膜上肿物形式为最多见 (占 81.1% ,P <0 .0 5 ) ;小细胞癌常表现粘膜浸润生长、粘膜下及腔外压迫 (占6 0 .0 % ) ,腺癌表现形式不一。结论 熟悉不同类型肺癌在纤维支气管镜下常见分布情况及形态 ,在检查时进行综合考虑 ,有利于在检查中对重点部位的有目的观察及取材 ,特别是对于放射学结果不明确的病例 。
Objective To discuss the distribution , shapes and histologic types of lung cancers diagnosed by fiberbronchoscope .Methods Analysis of data of 262 cases of lung cancers diagnosed by fiberbronchoscope. Results The chief distribution of lung cancers under fiberbronchoscope are superior lobe (58.8%, P <0.05), followed by lingular of left lung ,middle lobe of right lung(21.4%) and inferior lobe (26.3%) Squamous cell carcinoma was the most common type of lung cancer under fiberbronchoscope (60.3%), the proportion of adenocarcinoma was minimus (8.4%). Squamous cell carcinoma under fiberbronchoscope commonly appeared lump (81.1%, P <0.05), however small cell lung cancer often appeared invasion and compression (60.0%). Conclusions Knowing well the common distributions ,shapes and the different histologic types of lung cancers under fiberbronchoscope has important significations to the diagnosis.
出处
《重庆医学》
CAS
CSCD
2002年第9期806-807,共2页
Chongqing medicine
