摘要
目的分析原发性气管癌的临床特征,提高早期诊断率。方法对病理诊断为原发性气管癌17例患者资料进行回顾性分析。结果本组男性12例,女性5例,40岁以上占88·3%,主要临床表现为:声音嘶哑,喘鸣,吸气性呼吸困难,咳嗽咳痰,刺激性干咳,咯血,吞咽困难,气管偏移等。17例经纤维支气管镜确诊。结论原发性气管癌以男性为主,40岁以上占大多数,早期临床症状不典型,表现多样,原发病变难以在X线平片上发现,极易误诊,CT及纤维支气管镜检查可早期发现病灶。治疗以手术加放疗和局部治疗缓解症状为主。
Objective To inquiry into clinical characteristics of primary tracheal cancer to improve diagnoatic accuracy in early period. Methods Seventeen cases of primary tracheal cancer, confirmed by pathology, were retrospectively studied. Results In the study group, 12 cases were male, 5 were female. The age range ranged between 30 and 80. Over 88% of the patients were 40 or older. The main symptoms of primary tracheal cancer included cough, expectoration, dyspnea and hemoptysis. Seventeen cases were manifested with bronchofibroscepe. Conclusion Primary tracheal cancer lacked specific signs/symptoms at ealry stage. Primary lesions are not manifested in chest radiography. So it is easy to be misdiagnosed. Practical CT and bronchofibroscope examination can help find the lesions at an early stage. The treatment of primary tracheal cancer is mainly by operation, radiotherapy and local treatment.
出处
《临床肺科杂志》
2007年第2期140-141,共2页
Journal of Clinical Pulmonary Medicine
关键词
原发性气管癌
临床特征
误诊
primary tracheal cancer
clinical characteristics
misdiagnosis
