原发性气管癌33例临床分析

Clincal Analysis on 33 cases of Primary Tracheal Tumor

目的 提高原发性气管癌早期诊断符合率 ,减少原发性气管癌的误诊率。方法 对病理诊断为原发性气管癌 33例患者的临床资料进行回顾性分析。结果 本组患者男性 2 3例 ,女性 10例 ,男女之比 2 3∶1,年龄 2 6～ 78岁 ,40岁以上占 2 9例 ,主要症状为气喘、气短、咳嗽 ,2 7例经纤维支气管镜确诊。结论 原发性气管癌以男性为主 ,40岁以上占大多数 ,症状不典型 ,易误诊。纤维支气管镜检查可早期发现病变 ,并且对治疗有一定指导意义。

Objective To improve early diagnosis ability of primary tracheal tumour, so as to reduce misdiagnosis. Methods The clincal data of 33 patients with pathologic diagnosed tracheal tumour was retrospectly analyzed. Results There were 23 males and 10 females in this group, ratio of the males and the females 2.3∶1, range of age 26～27 years with 29 cases above 40 years old, cardinal symptom composed of asthma, hard breathing and cough. 27 cases were diagnosed with bronchofiberoscopy. Conclusion Most cases of primary tracheal were males, especially above 40 years old, which misdiagnosed easily because of nontypical symptom. Bronchofiberoscopy can detect primary lesion and conduct therapy.