不同病理类型肺癌患者骨转移情况临床分析

The Clinical Analysis of with Lung Cancer Patients with Different Pathology

为总结不同病理类型肺癌骨转移的一般规律,回顾性地总结了252例肺癌患者的临床情况。根据病理类型分为小细胞肺癌、腺癌、鳞癌三种,分析其骨转移的几率、骨痛情况及骨转移的部位分布。结果小细胞癌、腺癌、鳞癌三种病理类型的肺癌患者骨转移比例分别为13.3%、39.1%、28.1%。小细胞肺癌、腺癌及鳞癌骨转移患者中脊柱的转移比例分别为75%、92%、33.3%,胸部骨骼的转移比例分别为75%、84%、66.7%。说明肺癌中腺癌骨转移的几率最高,肺癌骨转移病灶部位最常见的是脊柱及胸部骨骼。对医务工作者临床上治疗肺癌骨转移有提示作用。

Summarized the general regularity of different types of pathology of lung cancer with osseous metastasis,the clinical setting of 252 lung cancer patients were summarized retrospectively on the basis of the pathology and the rate of osseous metastasis,the status of osteodynia and distribution of osseous metastasis were analyzed as well.According to the pathology it＇s divided into 3 types ：small cell lung cancer,adenocarcinoma and SqCa.It is resulted thet rate of osseous metastasis of small cell lung cancer,adenocarcinoma and SqCa is 13.3%,39.1%,28.1% respectively.The proportion of rachial metastasis of small cell lung cancer,adenocarcinoma and SqCa is 75%,92%,33.3%.The proportion of ossa thoracis metastasis is 75%,84%,66.7%.It is conclused thet highest rate of osseous metastasis is adenocarcinoma.Spinal column and ossa thoracis are the most frequent position of metastatic lesion of lung cancer with osseous metastasis,which has enlightened function for the clinicians in treating lung cancer with osseous metastasis.