论文部分内容阅读
目的 :探讨原发性气管癌的临床特征及误诊原因。方法 :回顾分析了我院 1985年 1月～ 2 0 0 2年 12月诊治的 18例原发性气管癌病例的临床资料。结果 :原发性气管癌首发症状以咳嗽、痰血及呼吸困难为多见。病理类型主要为鳞癌和腺样囊性癌。原发性气管癌易误诊为支气管哮喘、慢性支气管炎和肺结核等。结论 :原发性气管癌临床症状无特异性 ,X线胸片多无异常改变 ,临床上易误诊误治。支气管镜及胸部CT检查是诊断原发性气管癌的重要方法。
Objective: To investigate the clinical features and misdiagnosis of primary tracheal carcinoma. Methods: The clinical data of 18 cases of primary tracheal carcinoma diagnosed and treated in our hospital from January 1985 to December 2002 were retrospectively analyzed. Results: The primary symptom of primary tracheal cancer was cough, sputum blood and dyspnea. Pathological types are mainly squamous cell carcinoma and adenoid cystic carcinoma. Primary tracheal cancer is often misdiagnosed as bronchial asthma, chronic bronchitis and tuberculosis. Conclusion: The clinical manifestations of primary tracheal carcinoma are nonspecific. There are no abnormal changes in X-ray and clinically misdiagnosis and mistreatment. Bronchoscopy and chest CT examination is an important method of diagnosis of primary tracheal cancer.