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目的:探讨青年人肺癌的X线及CT 表现,以提高对其诊断水平。方法:对23例经支气管镜活检及手术病理证实为肺癌患者的X线及CT表现进行回顾性分析。结果:右肺12例,左肺11例,中央型18例,周围型5例。病理类型:鳞癌1例,大细胞癌1例,低分化癌4例,腺癌4例,小细胞未分化癌13例。X线及CT主要表现为:阻塞性肺炎、支气管腔内结节影,管壁增厚、管腔闭塞、不规则、分叶状团块影、肺叶不张,可伴胸腔积液。结论:青年人肺癌的特点是发展快,预后差,初诊时易被误诊而延误治疗。
Objective: To investigate the X-ray and CT findings of lung cancer in young people in order to improve their diagnostic level. Methods: X-ray and CT findings of 23 patients with lung cancer confirmed by bronchoscopic biopsy and surgical pathology were retrospectively analyzed. Results: There were 12 cases of right lung, 11 cases of left lung, 18 cases of central type and 5 cases of peripheral type. Pathological type: squamous cell carcinoma in 1 case, large cell carcinoma in 1 case, poorly differentiated carcinoma in 4 cases, adenocarcinoma in 4 cases, small cell undifferentiated carcinoma in 13 cases. X-ray and CT are mainly as follows: obstructive pneumonia, bronchial nodules, wall thickening, lumen occlusion, irregular, lobulated mass shadow, lobe atelectasis, pleural effusion may be associated. Conclusion: The characteristics of lung cancer in young people are rapid development and poor prognosis. It is easy to be misdiagnosed and delayed treatment when first diagnosis.