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经支气管镜确诊的2168例肺癌的临床特点分析

张宇 于力克 谢海燕 胡韦华 郝可可 夏宁

中国医科大学学报2011,Vol.40Issue(10):930-933,4.
中国医科大学学报2011,Vol.40Issue(10):930-933,4.DOI:21-1227/R.20111019.1723.013

经支气管镜确诊的2168例肺癌的临床特点分析

Analysis of Clinical Features of 2 168 Confirmed Cases of Lung Cancer Diagnosed by Bronchoscopy

张宇 1于力克 1谢海燕 1胡韦华 1郝可可 1夏宁1

作者信息

  • 1. 南京市胸科医院呼吸一科,南京210029
  • 折叠

摘要

Abstract

Objective To investigate the clinical characteristics of confirmed cases of lung cancer diagnosed by bronchoscopy. Methods A retrospective analysis was conducted to study the clinical features such as gender,age,pathologic type,lesion location,bronchoscopic image and sampling method of 2,168 confirmed cases of lung cancer diagnosed by bronchoscopy. Results The sex ratio (M/F) was 4.8 : 1 and the peak incidence was between 60 to 69 years of age. The most common pathologic type was squamous cell carcinoma (44.56%),followed by adenocarcinoma (25.92%) and small cell lung cancer (18.27%). Squamous cell carcinoma had the highest incidence rate (50.61%) a-mong men,while adenocarcinoma had the highest rate among women (56.18%). The positive rates diagnosed by forceps biopsy,brush biopsy,bronchial alveolar lavage and transbronchial needle aspiration were 81.60%,49.37%, 18.24% and 62.65% respectively. The positive rate by forceps biopsy combined with brush was 89.06%. Conclusion Bronchoscopy is an important approach in the diagnosis of lung cancer. The incidence and pathologic type of lung cancer vary depending on age and gender. Bronchoscopy and improving biopsy technique can markedly increase the diagnostic rate and help in early diagnosis of lung cancer.

关键词

肺癌/支气管镜/诊断

Key words

lung cancer/bronchoscopy/diagnosis

分类

医药卫生

引用本文复制引用

张宇,于力克,谢海燕,胡韦华,郝可可,夏宁..经支气管镜确诊的2168例肺癌的临床特点分析[J].中国医科大学学报,2011,40(10):930-933,4.

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