CAJ | 학술논문

目的：分析近20 a经支气管镜诊断的肺癌病例前10 a和后10 a中男女比例、病理类型及男女发病年龄的变化，探讨肺癌的发病特点。方法对1993年1月至2012年12月20 a间经支气管镜诊断的1761例肺癌患者的临床资料进行回顾性分析。结果前、后10 a男女比例分别为3.22：1和3.15：1，其中青年肺癌前、后10 a男女比例分别为1.30：1和4.80：1。前、后10 a鳞癌、腺癌、小细胞癌分别占50.84％、13.53％、31.94％和49.34％、16.93％、30.03％，其中女性腺癌前、后10 a 分别占同期肺癌的6.67％和7.28％，男性腺癌前、后10 a分别占同期肺癌的6.86％和9.66％。前10 a肺癌年龄（57.12±12.03）岁，其中男性年龄（57.73±12.25）岁，女性年龄（55.44±11.98）岁；后10 a肺癌年龄（60.03±11.86）岁，其中男性年龄（60.14±12.11）岁，女性年龄（59.75±11.37）岁。结论本组肺癌前、后10 a男女比例变化不大，但青年肺癌男女比例明显增高，男性患者明显增多；男女腺癌占全部肺癌的比例均呈上升趋势；肺癌发病年龄有后延趋势。
목적：분석근20 a경지기관경진단적폐암병례전10 a화후10 a중남녀비례、병리류형급남녀발병년령적변화，탐토폐암적발병특점。방법대1993년1월지2012년12월20 a간경지기관경진단적1761례폐암환자적림상자료진행회고성분석。결과전、후10 a남녀비례분별위3.22：1화3.15：1，기중청년폐암전、후10 a남녀비례분별위1.30：1화4.80：1。전、후10 a린암、선암、소세포암분별점50.84％、13.53％、31.94％화49.34％、16.93％、30.03％，기중녀성선암전、후10 a 분별점동기폐암적6.67％화7.28％，남성선암전、후10 a분별점동기폐암적6.86％화9.66％。전10 a폐암년령（57.12±12.03）세，기중남성년령（57.73±12.25）세，녀성년령（55.44±11.98）세；후10 a폐암년령（60.03±11.86）세，기중남성년령（60.14±12.11）세，녀성년령（59.75±11.37）세。결론본조폐암전、후10 a남녀비례변화불대，단청년폐암남녀비례명현증고，남성환자명현증다；남녀선암점전부폐암적비례균정상승추세；폐암발병년령유후연추세。
Objective Toanalysisthemale/femaleratio,pathologicaltype,changebetweenmale/femaleonset age of patients with lung carcinoma diagnosed by bronchoscopy between the first decade and second decade of nearly 20years,andtoinvestigatethediseasecharacteristicsoflungcarcinoma.Methods Thedataof1761patientswith lung carcinoma diagnosed by bronchoscopy were analyzed retrospectively from January 1993 to December 2012.Results Amongthelungcarcinomaofthefirstdecadeandseconddecade,themale/femaleratiowas3.22:1and 3. 15:1,the male/female ratio of young lung carcinoma was 1. 30:1 and 4. 80:1 respectively;the ratio of squa-mous cell carcinoma,adenocarcinoma and small cell carcinoma were 50. 84%,13. 53%,31. 94% and 49. 34%, 16. 93%,30. 03% respectively,the female adenocarcinoma accounted for 6. 67% and 7. 28% respectively,the male adenocarcinoma accounted for 6. 86% and 9. 66% of all the lung carcinoma respectively. Among all the lung carci-noma cases of the first decade,the age was(57. 12 ± 12. 03)years old,the male and female was(57. 73 ± 12. 25) and(55. 44 ± 11. 98)years old respectively;among all the lung carcinoma of the second decade,the age was (60. 03 ± 11. 86)years old,the male and female was(60. 14 ± 12. 11)and(59. 75 ± 11. 37)years old respective-ly.Conclusion Amongthisgroupoflungcarcinoma,therewasalittlechangeofthemale/femaleratio,butthe young patients ratio was increased significantly,with the male patients ratio was increased obviously at the same time;the male and female adenocarcinoma ratio all showed a trend of rising among all the patients;the onset age of lung carcinoma has the delayed trends.