CAJ | 학술논문

目的研究吸烟对男性人群中肺癌的影响.方法收集经组织学或细胞学诊断明确患有肺癌的644例男性患者的临床资料,按吸烟与否分为吸烟组和非吸烟组,并进行回顺性分析.结果吸烟组鳞癌患者所占比例明显高于非吸烟组(40.08% vs 20.67%,P＜0.01),非吸烟组腺癌患者比例高于吸烟组(68.00% vs 44.53%,P＜0.01).非吸烟组作小细胞肺癌晚期患者的比例高于吸烟组(P=0.016).吸烟组咳嗽与咯血症状较非吸烟组明显(P值分别为0.032、0.008).非吸烟组无症状患者多于吸烟组(P=0.003).结论吸烟男性肺痈患者中鳞癌比例较高,咳嗽和咯血症状明显;非吸烟男性肺癌患者以腺癌常见,临床表现不明显;非吸烟男性患者非小细胞肺癌晚期病例较吸烟男性患者多.
목적 연구흡연대남성인군중폐암적영향.방법 수집경조직학혹세포학진단명학환유폐암적644례남성환자적림상자료,안흡연여부분위흡연조화비흡연조,병진행회순성분석.결과 흡연조린암환자소점비례명현고우비흡연조(40.08% vs 20.67%,P＜0.01),비흡연조선암환자비례고우흡연조(68.00% vs 44.53%,P＜0.01).비흡연조작소세포폐암만기환자적비례고우흡연조(P=0.016).흡연조해수여각혈증상교비흡연조명현(P치분별위0.032、0.008).비흡연조무증상환자다우흡연조(P=0.003).결론 흡연남성폐옹환자중린암비례교고,해수화각혈증상명현;비흡연남성폐암환자이선암상견,림상표현불명현;비흡연남성환자비소세포폐암만기병례교흡연남성환자다.
Objective To investigate the effect of smoking on male patients with lung cancer.Methnds Clinical data of 644 male patients with lung cancer who were diagnosed by histology or cytology were collected and retrospectively analyzed.Patients were divided into smoking group and non-smoking group.Results There were more squamous cell carcinoma patients in smoking group(40.08%)than non-smoking group(20.67%,P＜0.01),but less adenocarcinoma patients in smoking group(44.53%)than non-smoking group(68.00%,P＜0.01).The patients with advanced stage of non-small cell lung cancer in non-smoking group were more than those in smoking group(P=0.038).More patients in smoking group suffered from cough(P=0.032)and hemoptysis(P=0.008).The asymptomatic patients in non-smoking group were more than those in smoking group(P=0.003).Conclusions In male smoking patients with lung cancer.the proportion of squamous cell carcinoma is high,and the symptom of cough and hemoptysis is obvious.In male non-smoking patients with lung cancer,adenocarcinoma is common,and clinical manifestation is not obvious.The patients with advanced stage of non-small cell lung cancer in non-smoking male patients are more than those in smoking male patients.