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目的探讨中老年女性肺癌纤维支气管镜(以下简称纤支镜)下的特征及其与病理类型的关系。方法对2006年6月至2011年7月经纤支镜确诊的96例中老年女性肺癌患者(包括门诊及住院患者)的临床资料进行回顾性分析。结果 40～60岁年龄组58例,60岁以上38例;鳞癌56例,腺癌19例,小细胞癌16例,细支气管肺泡癌3例,其他未分类型癌2例。钳检阳性率为100%,刷检阳性率为72.6%。结论女性肺癌好发于中老年,右肺多见,纤支镜下病灶以浸润性和增生性最多见,钳检阳性率高于刷检,联合两者能提高诊断阳性率。
Objective To investigate the characteristics of lung cancer patients with bronchofibroscopy (hereinafter referred to as bronchofibroscopy) and its relationship with pathological types. Methods The clinical data of 96 elderly patients with lung cancer (including outpatients and inpatients) diagnosed by fiber bronchoscopy from June 2006 to July 2011 were analyzed retrospectively. Results There were 58 cases in 40-60 years old group and 38 cases over 60 years old. There were 56 cases of squamous cell carcinoma, 19 cases of adenocarcinoma, 16 cases of small cell carcinoma, 3 cases of bronchioloalveolar carcinoma and 2 cases of other unclassified carcinomas. The positive rate of pliers examination was 100%, the positive rate of brush examination was 72.6%. Conclusions Female lung cancer occurs mainly in the middle-aged and elderly patients, with more common in the right lung. Infiltrative and hyperplastic lesions are most common in patients undergoing bronchofibroscopy. The positive rate of forceps test is higher than that of brush test. The combination of the two can improve the diagnostic positive rate.