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目的对青年女性肺癌的临床特点进行研究,并对女性肺癌组织学类型与患者的年龄、性别以及发病部位和纤维支气管镜镜下表现间的关系进行了探讨研究。方法对华西医院2009年1月至2011年12月确诊为肺癌的70例40岁下的青年女性患者临床及纤维支气管镜检查资料进行回顾分析研究。结果在70例患者中,30岁以后的青年女性肺癌发病较多(81.4%)。病变部位在左右肺的发生率无明显区别(P>0.05),各病理类型肺癌左右肺分布亦无显著区别。组织学分型腺癌居首位40%,其次为小细胞癌27.1%和鳞癌18.6%;70例青年肺癌镜下改变以直接征象为主(64.28%),间接征象占到35.72%。结论在临床诊断青年女性肺癌中,纤维支气管镜检查作为其重要的诊断手段,对于早期诊断有着重要的作用。
Objective To investigate the clinical characteristics of young women with lung cancer and to explore the relationship between the histological type of lung cancer and the age and sex of patients and the location of the disease and the performance under bronchoscopy. Methods A retrospective analysis was performed on the clinical and fibrobronchial findings of 70 young women under 40 years of age who were diagnosed with lung cancer from January 2009 to December 2011 in West China Hospital. Results Of the 70 patients, young women after the age of 30 had more lung cancer (81.4%). There was no significant difference in the incidence of lesion in the left and right lungs (P> 0.05). There was no significant difference in the distribution of lung between the two groups. Histological type adenocarcinoma was the first 40%, followed by small cell carcinoma 27.1% and squamous cell carcinoma 18.6%; 70 cases of young lung cancer mainly direct signs of change (64.28%), indirect signs accounted for 35.72%. Conclusion In the clinical diagnosis of young women with lung cancer, fibrobronchoscopy as an important diagnostic tool for early diagnosis has an important role.