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目的:研究女性肺癌的好发部位;女性肺癌病理类型与年龄的关系;女性肺癌经纤维支气管镜(以下简称为纤支镜)钳检和刷检阳性率的比较。方法:对2006年1月～2009年10月经纤支镜诊断的62例女性肺癌患者(包括门诊病人及住院病人)进行回顾性分析。结果:62例女性肺癌患者中,病灶在右侧者38例,左侧者21例;病灶以浸润性改变为主30例,以增生性改变为主29例,以外压性改变为主1例,正常型2例。40岁以下年龄组5例,41～60岁年龄组40例,61岁以上年龄组17例;腺癌33例,鳞癌10例,小细胞癌7例,大细胞癌2例,其他类型10例。钳检阳性率86.8%,刷检阳性率74.1%。结论:女性肺癌好发于中老年女性,多发于右肺,病理类型以腺癌为主,纤支镜下病灶以浸润性改变最多见,钳检阳性率高于刷检,联合两者能提高诊断阳性率。
OBJECTIVE: To study the predilection sites of female lung cancer, the relationship between the pathological types of female lung cancer and age, and the comparison of the positive rate between the bronchoscope and fiberoptic bronchoscope (hereinafter referred to as bronchoscope) of female lung cancer. Methods: Sixty-two female patients with lung cancer (including outpatients and inpatients) diagnosed by fiberoptic bronchoscopy from January 2006 to October 2009 were retrospectively analyzed. Results: Of the 62 female patients with lung cancer, 38 were on the right side and 21 were on the left side. Thirty cases were mainly infiltrative lesions, 29 cases were mainly hyperplastic ones, and one case was mainly external pressure changes , Normal type in 2 cases. 5 patients under 40 years of age, 40 patients 41 to 60 age group, 17 patients over 61 years of age; 33 cases of adenocarcinoma, squamous cell carcinoma in 10 cases, small cell carcinoma in 7 cases, large cell carcinoma in 2 cases, other types of 10 example. Pliers test positive rate of 86.8%, brush test positive rate of 74.1%. Conclusion: Female patients with lung cancer occur mainly in middle-aged and elderly women, and frequently occur in the right lung. The main pathological types are adenocarcinoma. Infiltrative changes are the most common in patients undergoing bronchofibroscopy. The positive rate of the clamp test is higher than that of the brush test. Diagnostic positive rate.