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阻塞性支气管炎在支气管癌中的预后意义。

The prognostic significance of obstructive bronchitis in bronchial cancer.

作者信息

Antmann I

出版信息

Z Erkr Atmungsorgane. 1982;159(2):203-9.

PMID:7168214
Abstract

The correlation between chronic bronchitis and bronchial cancer was studied. The significance of common--or supposedly common--etiological factors, the risk of bronchial cancer among patients with obstructive bronchitis, the operability and survival rates of obstructive bronchitic patients with bronchial cancer were studied and compared to the data of patients with bronchial cancer but without obstructive bronchitis. The distribution of smokers was the same among male patients with bronchial cancer or obstructive bronchitis. Among male patients of the same age and smoking habits, suffering from obstructive bronchitis, the relative incidence rate of bronchial cancer was 5 times higher in group of the 50-60-year-old and 11 times higher in the age group above 60 than in the groups of patients with dyscrinia only. Accordingly, unfavourable prognostical significance for bronchial cancer is attributed to obstructive bronchitis. The authors advocates to screen patients with bronchitis, to start their out-patient care in an early stage, to register theirs spirometric data, and to supervise male patients with obstructive bronchitis radiologically.

摘要

对慢性支气管炎与支气管癌之间的相关性进行了研究。研究了常见或推测常见的病因因素的意义、阻塞性支气管炎患者患支气管癌的风险、患有支气管癌的阻塞性支气管炎患者的可手术性和生存率,并与患有支气管癌但无阻塞性支气管炎的患者的数据进行了比较。支气管癌男性患者或阻塞性支气管炎男性患者中吸烟者的分布情况相同。在年龄和吸烟习惯相同的男性阻塞性支气管炎患者中,50 - 60岁组支气管癌的相对发病率比仅患有功能障碍的患者组高5倍,60岁以上年龄组高11倍。因此,阻塞性支气管炎被认为对支气管癌具有不利的预后意义。作者主张对支气管炎患者进行筛查,在早期开始门诊治疗,记录他们的肺活量测定数据,并对男性阻塞性支气管炎患者进行放射学监测。

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