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本文报告我院1978年3月—1986年3月纤支镇检查600次,将其中确诊肺癌的150例检查结果进行分析讨论。临床资料:150例中,男130例;女20例。年龄最大71岁;最小15岁。40岁以上者143例(95.4％)。主要症状有咳嗽,胸痛、痰中带血、咳痰、发烧等。X线表现为肺不张、肺部块影、肺炎等。结果:150例肺癌均经病理确诊,经纤支镜活检和刷检确诊者131例(87.3％),其中鳞癌86例;腺癌24例;未分化癌23例;肺泡细胞癌1例;未定型癌16例。纤支镜窥见率为75.3％,以鳞癌堵塞支气管最多见。各型肺癌的形态特征与病理类型间有一定关系,病变分布可见于支气管的任何部位。左肺59例;右肺90例。好发部位在两上肺78例(52.0％)。位于叶支气管以上的中央型肺癌诊断率较高,以鳞癌及未分化癌居多;病变在段支气管以下的周围型肺癌以腺癌多见,其诊断率较低。
This article reported that our hospital had inspected 600 times from March 1978 to March 1986, and analyzed and discussed the results of 150 cases of lung cancer diagnosed. Clinical data: 150 cases, 130 males and 20 females. The oldest is 71 years old; the youngest is 15 years old. 143 cases (95.4%) were over the age of 40. The main symptoms are cough, chest pain, bloody sputum, cough, and fever. X-ray showed atelectasis, lung block shadow, pneumonia and so on. Results: 150 cases of lung cancer were diagnosed by pathology. 131 cases (87.3%) were diagnosed by fibrobronchoscopic biopsy and brushing examination, including 86 cases of squamous cell carcinoma, 24 cases of adenocarcinoma, 23 cases of undifferentiated carcinoma, and 1 case of alveolar cell carcinoma. Untyped cancer in 16 cases. The rate of bronchoscopic spectacles was 75.3%, and the bronchial occlusive bronchi was the most common. There is a certain relationship between the morphological characteristics and pathological types of various types of lung cancer, and the distribution of lesions can be found in any part of the bronchus. There were 59 left lungs and 90 right lungs. The predilection sites were 78 cases (52.0%) in both upper lungs. The diagnostic rate of central lung cancer above the bronchial bronchus is high, with squamous cell carcinoma and undifferentiated carcinoma being the most common. Peripheral lung cancer below the segmental bronchus is more common with adenocarcinoma, and the diagnostic rate is lower.