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目的探讨肺炎型肺癌的诊断与治疗。方法对 16例患者的临床资料进行回顾性分析。结果经病理活检 ,毛刷涂片或支气管肺泡灌洗确诊 4例 ,反复痰脱落细胞学检查确诊 8例 ,经皮肺穿活检确诊 4例。施行肺叶切除 8例 ,复合肺叶切除 2例 ,一侧肺切除 6例 ,其中 14例为根治性手术 ,2例为姑息性手术。。结论痰癌细胞学检查阳性率明显高于其它类型的肺癌 ,纤支镜可提高阳性检出率 ,必要时经皮肺穿活检以明确诊断。一经确诊 ,宜首选外科手术治疗
Objective To investigate the diagnosis and treatment of pneumonic lung cancer. Methods The clinical data of 16 patients were retrospectively analyzed. Results Four cases were diagnosed by brush biopsy or bronchoalveolar lavage by pathological biopsy. Eight cases were diagnosed by repeated sputum cytology examination. Four cases were confirmed by percutaneous lung biopsy. Eight patients underwent lobectomy, 2 underwent combined lobectomy, and 6 underwent one side lung resection. Among them, 14 patients underwent radical surgery and 2 patients underwent palliative surgery. . Conclusions The positive rate of sputum cytology test was significantly higher than that of other types of lung cancer. Fibrobronchoscopy can increase the positive detection rate. If necessary, percutaneous lung biopsy can be used to confirm the diagnosis. Once diagnosed, surgical treatment is preferred