女性肺癌198例临床分析

Clinical analysis of 198 cases of female lung cancer

目的探讨女性肺癌病因，了解其临床特点及漏误诊率，以极早诊治，改善预后。方法对近10年本院收治的有完整病例资料的198例女性肺癌进行临床分析。结果女性肺癌的发病与厨房油烟、大气污染及被动吸烟等密切相关，目前有年轻化趋势，多数患者以咳嗽、血痰、胸痛、胸闷为首发症状，病理类型以腺癌为主，其误漏诊率高达29％。结论首诊医师应提高对女性肺癌的认识，对可疑患者及时行痰化验、CT、纤维支气管镜等检查，降低其误漏诊率，改善预后。

Objective To Inquiry the causes of the lung cancer in female, sum up its clinical characteristics and misdiagnosis rate, to make a diagnosis and give treatment earlier. Methods Accept to 198 female lung cancers of complete case data in my hospital 10 years recently. Results The causes are closely related with outbreak from kitchen, air pollution and passive smoking etc. Currently, the trend turns to be young. Most sufferers take the symptom, such as cough, blood phlegm, chest pain, chest stuffy, as the first one. The gland cancer regards as principle pathologic type;The misdiagnosis rate is the up to be 29%. Conclusion Doctors should pay more attention to the lung cancer in female. When suspected, the patients should be in time given the related medical examination including sputum smear detection,CT,bronchoscope exc, to lower its misdiagnosis rate and improve its prognosis.