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目的 :探讨上叶肺部阴影性质与肺段分布的关系。方法 :复习该院 1981～ 1999年 2 95例纤维支气管镜检查的肺上叶部阴影住院病例。对病变的具体部位与患者年龄、性别以及病理诊断之间的关系等进行回顾性分析。结果 :2 95例病人中肺癌 194人 ,其中鳞癌 10 5例 ,肺结核 6 6例 ,肺结核并肺癌 2例。肺部肿瘤所占比重随年龄增大由 30 %到 80 .2 5 %。男性肺癌所占比率为女性 1.46倍。上叶尖、后阴影病变 134例中肺癌 93例(6 9.48% ) ,结核 2 9例 (2 1.6 6 % ) ;94例上叶前段阴影病例中 ,肺部肿瘤 5 3例 (6 1.70 % ) ,结核 2 0例(2 1.30 % )。结论 :肺上叶阴影中肿瘤居多 ,且随年龄增大所占比率上升 ,鳞癌占首位 ,男性肺癌所占比率高于女性 ;病变性质与所处肺段相关性不似文献所述明显 ;结核性病变在纤维支气管镜下具有较特异性表现 ;肺结核可以与肿癌并存。
Objective: To investigate the relationship between the shadow characteristics of the upper lobe and the distribution of lung segments. Methods: A retrospective study of 95 cases of bronchoscopy in the upper lobe shadow inpatients from 1981 to 1999 was performed. The specific location of the lesion and the patient’s age, gender and pathological diagnosis of the relationship between the retrospective analysis. Results: There were 194 lung cancer cases in 95 cases, including 105 cases of squamous cell carcinoma, 66 cases of pulmonary tuberculosis and 2 cases of pulmonary tuberculosis and lung cancer. The proportion of lung cancer increases with age from 30% to 80.25%. Male lung cancer rate of 1.46 times for women. There were 93 lung cancer cases (6 9.48%) and 29 tuberculosis cases (2 1.6 6%) in 134 cases with upper shadow and posterior shadow lesions. Of the 94 cases with upper anterior lobe shadow, 53 (6 1.70% , 20 cases of tuberculosis (2 1.30%). Conclusions: The tumors in the upper lobe of the lung are mostly in the shadow, and the proportion increases with age, squamous cell carcinoma takes the first place and the proportion of male lung cancer is higher than that of the female. The correlation between the lesion and the segment of the lung is not as obvious as the literature shows; Tuberculous lesions in the bronchoscopic have more specific performance; tuberculosis can coexist with cancer.