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目的:评价不同病理类型的支气管肺癌的临床特点和纤维支气管镜下不同的表现以及纤维支气管镜下所见与病理类型的关系。方法:回顾性分析345例经纤维支气管镜确诊的支气管肺癌患者的镜下所见以及不同病理类型的性别、年龄、吸烟指数、临床表现及镜下表现等分布特点。结果:345例患者中,鳞癌194例,腺癌96例,小细胞癌26例,其他29例。男性患者多为鳞癌、小细胞癌、大细胞癌,其中鳞癌最为明显,而腺癌男女比率差异不大。临床主要表现为咳嗽,以增殖型表现为主。结论:不同病理类型的支气管肺癌的临床特点、镜下所见均有所不同。
OBJECTIVE: To evaluate the clinical features of different pathological types of bronchogenic carcinoma and their different manifestations under fiberoptic bronchoscopy as well as the relationship between the findings of bronchofibroscopy and pathological types. Methods: We retrospectively analyzed the microscopic findings of 345 cases of bronchogenic carcinoma diagnosed by bronchofibroscope and the distribution characteristics of gender, age, smoking index, clinical manifestations and microscopic appearance of different pathological types. Results: Of the 345 patients, 194 were squamous cell carcinoma, 96 adenocarcinoma, 26 small cell carcinoma and 29 other tumors. Male patients are mostly squamous cell carcinoma, small cell carcinoma, large cell carcinoma, of which the most obvious squamous cell carcinoma, while the ratio of adenocarcinoma between men and women is not different. The main clinical manifestations of cough, mainly to proliferative performance. Conclusion: The clinical features of different pathological types of bronchogenic carcinoma are different in the microscope.