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我科近四年经纤支镜检查的患者共2404例次,其中866例次经纤支镜作活检(活检率36.0％)确诊为支气管肺癌者432例,今将其中病历及胸片较完整者230例分析如下: 一、一般情况:本组230例中男168例,女62例。男女2.7:1,鳞癌男:女4.2:1;未分化癌2.2:1,腺癌有显著差异。年龄最小18岁,最大为75岁,30岁以下者7例,分别为腺癌3例,未分化及鳞癌各2例。本组就诊时主要症状以血痰或咯血为主,共131例(56.6％),胸痛68例(29.6％)。在230例肺癌中有17例因体检或进行其它疾病检查偶然发现。
A total of 2404 patients were examined by fiberbronchoscopy in our department in the past 4 years, of which 866 cases were diagnosed as bronchogenic carcinoma by biopsy (biopsy rate 36.0%) and 432 cases were confirmed to be complete. 230 cases were analyzed as follows: First, the general situation: the group of 230 cases of 168 males and 62 females. Male and female 2.7:1, squamous cell carcinoma male: female 4.2:1; undifferentiated carcinoma 2.2:1, there was a significant difference in adenocarcinoma. The youngest were 18 years old, and the largest were 75 years old. Seven patients under 30 years old were adenocarcinoma in 3 cases and undifferentiated and squamous cell carcinoma in 2 cases respectively. The main symptoms of this group were blood stasis or hemoptysis, which included 131 cases (56.6%) and 68 chest pains (29.6%). Of the 230 lung cancers, 17 were accidentally discovered due to physical examination or other disease tests.