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目的通过临床试验探究同位素(ECT)检查肺癌患者脊柱骨转移的临床效果。方法 200例经ECT检查有阳性发现的肺癌脊柱骨转移患者,且以上患者均经准确的病理学诊断,对患者的临床基本资料进行分析。结果肺癌脊柱转移患者中大多数肺癌病理类型为腺癌,其次为鳞癌,再次为小细胞癌,最后为大细胞癌。且男女性别比较差异具有统计学意义(P<0.05);在200例肺癌脊柱骨转移患者中单部位脊柱骨转移有104例,多部位脊柱骨转移96例,两者比较差异无统计学意义(P>0.05)。结论本次研究对象中发生脊柱骨转移的原发癌发生部位大多在左肺上叶,病理类型中以腺癌居多,单部位脊柱骨转移中以胸椎居多。
Objective To investigate the clinical effect of isotope (ECT) on bone metastasis of spine in patients with lung cancer through clinical trials. Methods A total of 200 patients with spine bone metastases from lung cancer who were found positive by ECT were enrolled in the study. All of the above patients were diagnosed accurately by pathology, and their basic clinical data were analyzed. Results Most of lung cancer patients with lung metastases had adenocarcinoma, followed by squamous cell carcinoma, again small cell carcinoma and finally large cell carcinoma. (P <0.05). There were 104 cases of single spine bone metastases and 96 cases of multi-part spine bone metastases in 200 cases of spine bone metastases of lung cancer, the difference was not statistically significant P> 0.05). Conclusion Most of the primary cancerous sites of spine bone metastasis in this study are located in the left upper lobe. Most of the pathological types are adenocarcinoma, and the spine is predominant in the spine.