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107例早期支气管黏膜内微小肺癌的纤维支气管镜检查分析

蒋朝旭 蒋绍仟

重庆医学2012,Vol.41Issue(27):2836-2838,封3,4.
重庆医学2012,Vol.41Issue(27):2836-2838,封3,4.DOI:10.3969/j.issn.1671-8348.2012.27.017

107例早期支气管黏膜内微小肺癌的纤维支气管镜检查分析

Analysis on fiberoptic bronchoscopy of 107 cases of early bronchial intramucosal minimal lung cancer

蒋朝旭 1蒋绍仟2

作者信息

  • 1. 重庆三峡中心医院呼吸科,重庆万州,404000
  • 2. 重庆三峡中心医院病理科,重庆万州,404000
  • 折叠

摘要

Abstract

Objective To investigate the superiority of the fibrobronchoscopy and biopsy on diagnosis of early bronchial in-tramucosal minimal lung cancer. Methods To perform the retrospective analysis on the clinical data in 107 cases (observation group) of early bronchial intramucosal minimal lung cancer diagnosed by fibrobronchoscopy and biopsy, resected by operation and 0. 5-1. 0cm in diameter from January 1993 to December 2008,and at the same period 107 cases(control group) of medium and advanced lung cancer resected by operation and > 2cm in diameter. The two groups were followed up for observing prognosis. Results In the observation group,87 cases of intramucosal minimal lung squamous cell carcinoma and 11 cases of intramucosal minimal lung adenocarcinoma were still survival in 3 - 5 years after operation. Among them,56 cases were still survival with good heath in postoperative 6 -10 years. 9 cases of intramucosal minimal lung small cell carcinoma died of recurrence and metastasis in postoperative 4 - 6 years. In the control group,among 87 cases of lung squamous cell carcinoma and 11 cases of lung adenocarcinoma,67 cases were survival in postoperative 1 - 2 years,22 cases were survival in in postoperative 3 - 5 years were survival. 9 cases of lung small cell carcinoma died of recurrence and metastasis within postoperative 2 years. Conclusion Fiberoptic bronchoscopy and biopsy are effective methods for early detecting bronchial intramucosal minimal lung cancer. Especially the patients with high risk factors should be regularly examined. Early diagnosis and timely surgical operation are most important factors to increase the survival period of lung cancer patient.

关键词

支气管镜检查/肺肿瘤/活组织检查/预后

Key words

bronchoscopy/lung neoplasms/ biopsy/ prognosis

引用本文复制引用

蒋朝旭,蒋绍仟..107例早期支气管黏膜内微小肺癌的纤维支气管镜检查分析[J].重庆医学,2012,41(27):2836-2838,封3,4.

重庆医学

OA北大核心CSCDCSTPCD

1671-8348

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