纤维支气管镜确诊肺癌101例临床分析

Clinical analysis of 101 lung cancer patients diagnosed by bronchofibroscopy

目的研究纤维支气管镜(简称纤支镜)下肺癌的表现,提高在纤支镜下对肺癌的认识。方法回顾分析2006年3月至2009年3月经纤支镜检查确诊为肺癌的101例病例资料。结果确诊的101例肺癌患者中,男女之比为2.7∶1,男性患者中90%以上有吸烟史。男性患者中多数为鳞癌44/74(59.5%),其次是腺癌14/74(18.9%)和小细胞癌6/74(8.1%)。女性患者以腺癌为主14/27(51.9%)。绝大多数患者为局限于单侧肺部病变,右肺明显高于左肺。侵犯多处病灶共23例(22.8%),以鳞癌和小细胞癌为主。结论纤支镜检查为临床早期发现,明确诊断肺癌的有效方法,镜下表现与病理类型具有一定关系,并可为合理制定治疗方案提供依据,值得推广应用。

【Objective】To promote recognition to lung cancer under bronchofibroscopy（BFS）.【Methods】Fibrobronchoscope data of 101 lung cancer patients diagnosed by histopathology,which were enrolled from patients detected by fibrobronchoscope from March 2006 to March 2009 were analyzed retrospectively.【Results】The male/female ratio was 2.7：1 in 101 cases of definite lung cancer.Over 90% of the male were smokers.The most common histological type was squamous cell carcinoma（44/74,59.5%）,followed by adenocarcinoma（14/74,18.9%） and small cell carcinoma（6/74,8.1%） in 74 male patients.The more common histological type was adenocarcinoma（14/27,51.9%） in 27 cases of female patients.The majority confined one side of lung.It was considerably higher in the right lung than in left lung.23 cases（22.8%） had multi-lesions found by fibrobronchoscope.Most of them were squamous cell carcinoma and small cell carcinoma.【Conclusion】The bronchoscopic exam is an utility way to make early discovery and definite diagnosis of lung cancer.It can also provide basis for clinical reasonable formulating treatment plan and prognosis.