肿瘤药学2016，Vol.6Issue(3)：212-216,5.DOI:10.3969/j.issn.2095-1264.2016.03.12
158例青年肺癌患者支气管镜下特征及临床特点分析
The Bronchoscopic Changes and Clinical Characteristics of 158 cases of Young Patients with Lung Cancer
摘要
Abstract
Objective To study the bronchoscopic signs and the clinical characteristics in 158 young patients with lung cancer. Methods The bronchoscopy results and clinical data of 158 young lung cancer patients were analyzed retro-spectively. Results Among the 158 young lung cancer patients, the most common histopathology was adenocarcinoma (67 cases, 42.4%), followed by small cell carcinoma (42 cases, 26.6%), and squamous cell carcinoma (37 cases, 23.4%) and the others (12 cases, 7.6%). There were 66 patients without smoking history, among which adenocarcinoma (80.3%,53/66) was the most common pathologic type. The cancer occurrence were more in the right lung for the young patients (P<0.05), and the upper lobes (P<0.05). Among 158 young patients with lung cancer, 91.8% had direct signs. Most of adenocarcinoma had infiltrative changes (P<0.05), but most of squamous cell carcinoma and small cell carcinoma had proliferative changes (P<0.05). The most common sign of bronchoscopy in patients with atelectasis was proliferative changes (P<0.05), but the most common signs of bronchoscopy in patients with patchy shadows were infiltrative changes (P<0.05). Conclusions Our study showed there were significantly different detection rate of squamous cell carcinoma, adenocarcinoma and small cell carcinoma in the patients with or without smoking history. There were various characteristics of bronchoscope appear-ances in different lesion sites, pathological types and imaging changes. Examination with bronchoscopy would be helpful for earlier diagnosis of lung cancer for young patients.关键词
肺癌/支气管镜/青年/临床特点Key words
Lung cancer/Bronchoscopy/Young/Clinical characteristics分类
医药卫生引用本文复制引用
聂华萍,梁伟军,刘胜岗,肖春香,周丽华..158例青年肺癌患者支气管镜下特征及临床特点分析[J].肿瘤药学,2016,6(3):212-216,5.基金项目
湘财社指（2014）30号。 （）
