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纤维支气管镜检查在肺不张病因诊断中的价值
THE DIAGNOSTIC VALUE OF FIBROBRONCHOSCOPY IN ATELECTASIS
【摘要】 纤维支气管镜(纤支镜)检查肺不张276例,其中肺癌185例(67.0%)、慢性炎症74例(2.8%)、结核14例(5.1%),其他病变3例,纤支镜检查诊断率依次为88.6%、90.5%、85.7%。纤支镜下主要表现为肿块型病变、浸润型病变、外压性改变等。为提高诊断率,应重视活极技术、采取活检、刷检等多方法取材及必要时纤支镜复查。认为对不明原因的肺不张均应予以纤夫镜检查。
【Abstract】 A fibrobronchoscope was used to examine 276 atelectasis patients, including 185(67. 0 % ) lung cancer patients,74(26. 8 % ) chronic inflammation patients, 14(5. 1 % ) tuberculosis, and three others- ’The diagnostic rate of fibro-bronchoscopy for lung cancer, chronic inflammation and tuberculosis was 88. 6 %, 9o. 5 % and 85. 7 %, respectively-The main abnormal endoscopic findings observed were tumors, infiltration and external compression. In order to in-crease the diagnostic rate, it is important to pay more attention to biopsy technique, combining biopsy, brushing andother techniques, and re-examining the patient when necessary. The results sUggest that patients with atelectasis ofunknown cause should be examined with a bronchoscope.
【Key words】 Atelectasis; Bronchoscopy; Lung neoplasm; Inflammation; Tuberculosis;
- 【文献出处】 中国内镜杂志 ,CHINA JOURNAL OF ENDOSCOPY , 编辑部邮箱 ,1997年02期
- 【分类号】R563
- 【被引频次】9
- 【下载频次】13