| 238 例女性肺癌纤维支气管镜检查的早期诊断探讨 |
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| 引用本文： | 关宪廷,杨欣,张自力. 238 例女性肺癌纤维支气管镜检查的早期诊断探讨[J]. 中国肿瘤临床, 2010, 37(4): 223-225. DOI: 10.3969/j.issn.1000-8179.2010.04.013 |
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| 作者姓名： | 关宪廷 杨欣 张自力 |
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| 作者单位： | 中铁三局中心医院(太原市030006);①山西省人民医院呼吸内科 |
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| 摘 要： | 目的:分析女性肺癌的诊断方法和危险因素，探讨早期肺癌诊断的途径。方法:收集2005年1 月至2008年12月本院呼吸内科纤维支气管镜（纤支镜）检查病例238 例，结合临床资料分析比较纤支镜下肺癌表现与临床影像学表现、女性罹患肺癌的主要危险因素及病理类型的关系。两组资料比较采用χ2检验。结果:年龄49岁以下组腺癌为主要病理类型，60岁以上组鳞癌为主要病理类型。纤支镜下表现分为增生型、浸润型、外压型、正常型。其中增生型与鳞癌相关，影像学表现以肿块为主，主要危险因素为吸烟；浸润型与腺癌相关，影像学表现以胸腔积液为主，主要危险因素为室内油烟吸入。结论:对长期接触室内油烟和烟草暴露女性，尤其存在多项危险因素的女性应该定期进行低剂量CT（LDCT）筛查，发现异常及时行纤支镜检查和组织细胞学检查是确诊早期肺癌的有效途径。
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| 关 键 词： | 女性 肺癌 早期诊断 |
| 收稿时间： | 2009-10-17 |
Role of Fiberoptic Bronchoscopy in the Early Diagnosis of 238 Female Lung Cancer Patients |
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| GUAN Xianting,YANG Xin,ZHANG Zili. Role of Fiberoptic Bronchoscopy in the Early Diagnosis of 238 Female Lung Cancer Patients[J]. Chinese Journal of Clinical Oncology, 2010, 37(4): 223-225. DOI: 10.3969/j.issn.1000-8179.2010.04.013 |
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| Authors: | GUAN Xianting YANG Xin ZHANG Zili |
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| Affiliation: | 1The Central Hospital of The Third Engineering Group Co.Ltd of China Railway, Taiyuan 030006, China |
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| Abstract: | Objective: To analyze the diagnostic methods and risk factors of female lung cancer, and to investigate the role of flberoptic bronchoscopy in the early diagnosis of lung cancer. Methods: The bronchoscopy data of 238 female lung cancer patients seen in our hospital between January 2005 and December 2008 were enrolled. The fiberoptic bronchoscop-ic features with clinical imaging, main risk factors of lung cancer and the pathological types were analyzed. χ~2 test was used for statistical analysis. Results: The major pathological type of lung cancer was adenocarcinoma in females younger than 40 years and squamous cell carcinoma in patients older than 60 years. The proliferative type was correlated with squa-mous cell carcinoma. Its imaging manifestion was a mass and the main risk factor was smoking. The infiltrating type was correlated with adenocarcinoma. Its imaging manifestation was mainly pleural effusion and the main risk factor was indoor soot inhalation. Conclusion: Females exposed to indoor soot inhalation for a long time especially those with a number of risk factors should be offered a screening with low dose CT (LDCT) regularly. Fiberoptic bronchoscopy and cytohistology are of great value for early diagnosis of lung cancer in those with abnormal findings in CT. |
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| Keywords: | Female Lung cancer Early diagnosis |
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