论文部分内容阅读
为了解肺癌的临床症状、X线表现与病理类型及转移部位的关系 ,治疗效果对预后的影响 ,回顾分析近 10年 85 0例住院肺癌病人的临床资料。结果共计 2 4种临床症状 ,6 16例 (72 74% )以胸部或肺部症状为主。转移部位共计两类 2 0个 ,淋巴结为最常见转移器官 ,其次为胸膜。X线检查有 11种表现 ,直接见到肿块阴影者仅 97例 (11 40 % ) ,其余为间接表现。中央型 6 13例 ,以鳞癌、小细胞癌为主 ;外周型 2 37例 ,以腺癌为主。治疗效果主要决定于临床TNM分期、治疗手段及病理类型。未治疗病人女性带瘤生存期明显较男性长。显示肺癌临床表现、体征多样 ,但仍以肺部症状、体征为主 ;转移部位广泛 ,主要途径为淋巴结转移 ;X线所见以间接征象为主 ;病理类型以鳞癌为主 ;近期疗效尚好 ,但远期疗效仍不满意。
In order to understand the clinical symptoms of lung cancer, the relationship between X-ray manifestations and pathological types and metastatic sites and prognosis of the patients were retrospectively analyzed. The clinical data of 85 0 hospitalized patients with lung cancer in recent 10 years were retrospectively analyzed. Results A total of 24 kinds of clinical symptoms, 6 16 cases (72 74%) to chest or lung symptoms. The total number of metastatic sites was 20 in two categories, with lymph node being the most common organ metastasis followed by pleura. X-ray examination of 11 kinds of performance, directly to see the mass shadow only 97 cases (11 40%), the rest is indirect performance. Central type of 613 cases of squamous cell carcinoma, small cell carcinoma; peripheral type 2 37 cases of adenocarcinoma based. The treatment effect mainly depends on clinical TNM staging, treatment and pathological types. The survival of untreated patients was significantly longer than that of males. Showing clinical manifestations of lung cancer, signs and diverse, but still the symptoms and signs of the lungs are still the main; extensive metastatic sites, the main pathway for lymph node metastasis; X-ray findings to indirect signs of the main pathological type squamous cell carcinoma; the recent effect is good , But the long-term efficacy is still not satisfied.