纤维支气管镜诊断56例肺癌患者临床意义研究

Research on Clinical Significance of Fiberoptic Bronchoscope in Diagnosis of 56 Cases of Patients with Lung Cancer

目的探讨纤维支气管镜对肺癌患者的临床诊断价值。方法该次研究对象来源于方便选取该院2015年8月—2016年8月收治的肺癌患者56例,均采用纤维支气管镜诊断,分析肺癌病理特征、临床特点,探讨诊断价值。结果 56例患者中50.0%为鳞癌,明显高于腺癌21.4%、小细胞癌23.2%及大细胞癌1.8%,男性46.2%为鳞癌,女性52.9%为腺癌;刷检阳性率为53.6%,明显低于钳检98.2%,≤40岁肺癌发生率为3.6%,明显低于41~59岁46.4%与≥60岁发生率48.2%,55.4%病灶分布在叶支气管,30.4%分布在段支气管;浸润性病灶占44.6%,新生物病灶占30.4%,均高于其他病灶表现。结论纤维支气管镜诊断肺癌临床意义重大,有推广价值。

Objective To study the clincial value of fiberoptic bronchoscope in diagnosis of patients with lung cancer.Methods Convenient selection 56 cases of paitents with lung cancer admited and treated in our hospital from August 2015 to August 2016 were selected and diagnosed with fiberoptic bronchoscope, and the lung cancer patolgoical features and clinical features were analyzed and the diagnosis value was stuided. Results 56 cases of patients, the incidence rate of squamous cell carcinoma was obvisuly higher than that of adenocarcinoma(50.0% vs 21.4%), and the incidence rates of small cell carcinoma and large cell carcinoma were 23.2% and 1.8%, and the 46.2% of males were with squamous cell carcinoma and 52.9% of females were adenocarcinoma, and the positive rate of brushing was obviously lower than that of clamp check(53.6% vs 98.2%), the incidence rate of lung cancer of patients whose age was ≤40 years old, which was obviusly lower than that of patients whose age was obviously lower than 41~59 years old and patients whose age ≥60 years old(3.6% vs46.4%,48.2%), 55.4% of patients was distributed in lobar bronchus, 30.4% were distributed in segmental bronchus, infiltrative lesions accounted for 44.6% and neoplasm lesions accounted for 30.4%, which were higher than the manifestaitons of the other lesions. Conclusion The clinical significance of fiberoptic bronchoscope in diagnosis of lung cancer is great,which is worth promotion.