摘要
目的 探讨支气管镜检查对周围型肺癌的诊断价值.方法 回顾性分析中国医科大学肿瘤医院自2016年1月1日至2017年1月1日收治的333例行支气管镜检查的周围型肺癌患者的临床资料,分析性别、年龄、吸烟史、肿瘤大小、CT表现、病理因素对周围型肺癌患者支气管镜检查结果的影响.结果 333例患者中,258例支气管镜检查正常,75例支气管镜检查异常.性别,年龄,吸烟史,肿瘤大小,CT检查中的钙化、支气管截断征、胸膜增厚、淋巴结肿大表现,病理检查中的分期、组织类型与周围型肺癌患者支气管镜检查结果有显著相关性(P ＜0.05).结论 支气管镜检查对周围型肺癌的诊断具有一定的价值;性别,年龄,吸烟史,肿瘤大小,CT检查中的钙化、支气管截断征、胸膜增厚、淋巴结肿大表现,以及病理检查中的分期、组织类型均与周围型肺癌患者支气管镜检查结果相关.
Abstract
Objective To investigate the diagnostic value of bronchoscopy in peripheral lung cancer. Methods A retrospective study was performed on 333 cases of patients with peripheral lung cancer who were admitted and underwent bronchoscopy form January 1, 2016 to January 1, 2017. The influence of gender, age, smoking history, tumor size, CT appearance and pathological factors on bronchoscopy results of patients with peripheral lung cancer were analyzed. Results Among 333 cases of bronchoscopy, 258 cases had normal results and 75 had abnormal. Gender, age, smoking history, tumor size, calcification in CT examination, bronchial truncation sign, pleural thickening, lymph node enlargement, staging and tissue type in pathological examination were significantly correlated with the results of bronchoscopy in patients with peripheral lung cancer ( P ＜ 0. 05). Conclusion Bronchoscopy is valuable for the diagnosis of peripheral lung cancer. Gender, age, smoking history, tumor size, calcification in CT examination, ronchial truncation sign, pleural thickening, lymph node enlargement, staging and tissue type in pathological examination were all related to the results of bronchoscopy in patients with peripheral lung cancer.
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