CAJ | 학술논문

目的：通过对48例早期肺癌的分析，提出了发现和诊断早期肺癌的方法。方法：收集我院1995～1999年万余例肺部疾病患者进行纤维支气管镜检查，经病理和细胞检查确诊肺癌3 648例，对其中属早期肺癌48例进行分析。结果：早期中心型肺癌和周围型肺癌的发生部位、进展形态和临床症状不同，其早期发现的诊断也不同。结论：凡临床表现干咳、痰血、肺部同一部位反复出现炎症者，应及时通过胸部X线、CT、痰细胞学和纤支镜检查以明确诊断。对高危人群和高发地区前瞻性普查是发现无症状小肺癌的重要手段。
목적：통과대48례조기폐암적분석，제출료발현화진단조기폐암적방법。방법：수집아원1995～1999년만여례폐부질병환자진행섬유지기관경검사，경병리화세포검사학진폐암3 648례，대기중속조기폐암48례진행분석。결과：조기중심형폐암화주위형폐암적발생부위、진전형태화림상증상불동，기조기발현적진단야불동。결론：범림상표현간해、담혈、폐부동일부위반복출현염증자，응급시통과흉부X선、CT、담세포학화섬지경검사이명학진단。대고위인군화고발지구전첨성보사시발현무증상소폐암적중요수단。
Objective To find ways of detecting and diagnosing early lung cancer through analysing theclinical data of 48 cases. Methods in our hospital During the period of 1995 to 1999,3 648 cases with lungcancer were diagnosed pathologically and cytologically, out of them 48 cases with early lung cancer were anal-ysed in this paper. Results The positions, progressive patterns and clinical symptoms of the early central lungcancer are different from those of the peripheral ones and so are the ways of their detection and diagnoses.Coucluslons Patients with clinical manifestations such as dry cough, sputum with blood and repeated inflama-tions of the lung at the same placse should be examined by means of chest X-ray, chest CT, sputum cytomor-phology or fiberbronchoscope. One of the important methods to find small lung cancer without symptoms is toconduct prospective massive surveys among the people of high risk and to survey in high incidence areasregularly.