106例肺癌合并胸腔积液患者临床分析

目的总结和分析肺癌合并胸腔积液的特点,加强认识,提高诊治水平。方法分析106例在笔者所在科室经病理诊断确诊为肺癌合并胸腔积液患者的资料。结果 106例患者中,45岁以上89例(83.9%);腺癌50例(47.2%),鳞癌29例(27.4%),小细胞癌12例(11.3%),大细胞癌8例(7.5%),类癌3例(2.8%),其他病理类型4例(3.8%);大量胸腔积液47例(44.3%),中量36例(33.9%),少量23例(21.7%);痰液细胞学检查首诊的患者17例(16.1%),X线胸片首诊的27例(25.5%),经胸部CT首诊的41例(38.7%);右侧积液59例(55.7%),左侧积液31例(29.2%),双侧积液16例(15.1%);渗出液97例(91.5%),漏出液9例(8.5%);血性积液83例(78.3%),非血性23例(21.7%)。结论对胸腔积液患者全面检查,分析积液性质,可提高肺癌确诊率。

Clinical analysis of 106 cases of malignant pleural effusion with lung cancer

Objective To summarize and investigate the characteristics of malignant pleural effusion with lung cancer,in order to improve the knowledge of the disease and to raise diagnosis rate of malignant pleural effusion with lung cancer.Methods To analyze clinical data of 106 cases of lung cancer complicated with malignant pleural effusion who had been diagnosed explicitly by the pathology in our hospital.Results 106 cases of the lung cancer complicated with malign ant pleural effusion who over 45 years of age were 89 cases(83.9 %).Cases of adenocarcinoma were 50(47.2%) cases,29 cases of spuamous carcinoma(27.4%),12 cases of small cell carcinoma(11.3%),8 cases of large cell carcinoma(7.5%),3 cases of carcinoid(2.8%),4cases of the other pathologic types(3.8%).Cases of a great deal of pleural effusion were 47case(s44.3%),36 case(s33.9%)of medium quantity of pleural effusion,23 case(s21.7%) of a little amount of pleural effusion.17 cases(16.1%) were first diagnoses by expectorative cytology,27 cases(25.5%) were first diagnosed by X-ray,41 cases(38.7%) were first diagnosed by chest CT.Cases of pleural effusion in the right chest were 59(55.7%),3l cases of the left chest(29.2%),both chest's were 16 cases(15.1%).Cases of exudative hydrops were 97(91.5%),9 cases of transdatory dropsy(8.5%).Cases of blood effusion were 83(78.3%),23 cases of non-blood effusion(21.7%).Among them found out carcinoma cell from the pleural effusion were 125 cases(72.7%).Conclusion It's must to examine completely for the patients with malignant pleura|effusion,and analyze the characteristics of malignant pleural effusion,which can raise the diagnosis rate of lung cancer.