纤维支气管镜检对慢性咳嗽病因的诊断价值  

Significance of fiberoptic bronchoscopy in diagnosis of chronic cough

作　　者：欧阳若芸[1] 陈平[1] 向旭东[1] 郑东元[1] 周淮英[1] 

机构地区：[1]中南大学湘雅二医院呼吸内科,湖南长沙410011

出　　处：《中国内镜杂志》2004年第9期72-72,75,共2页China Journal of Endoscopy

摘　　要：目的评价纤维支气管镜对慢性咳嗽病因的诊断价值。方法对慢性咳嗽8周以上的91例患者,经临床检查排除常见病因后,予纤维支气管镜检查。结果发现支气管黏膜慢性炎症34例,支气管肺癌6例,气管及支气管粘膜结核7例,支气管息肉1例,诊断阳性率为58.2%。结论纤维支气管镜检查是原因不明的慢性咳嗽患者必要的有创检查之一。Objective: To investigate the clinical value of fiberoptic bronchoscopy for diagnosing the cause of chronic cough. Methods: After denied the diagnosis of cough variant asthma, postnasal drip syndrome and gastroesophageal reflux, the ninety-one patients suffered by chronic cough of unknown for 8 weeks were examined with fiberoptic bronchoscopy. Results: After the examination with fiberoptic bronchoscopy for diagnosing the cause of chronic cough, 34 patients with chronic bronchitis were determined, 6 patients with bronchogenic carcinoma, one patient with tracheal tuberculosis, 6 patients with bronchial tuberculosis and one patients with bronchial polypus. The positive rate of diagnosis was 58.2%. Conclusion: Our data show the examination of fiberoptic bronchoscopy is quite indispensable to diagnose the cause of chronic cough of unknown.

关 键 词：慢性咳嗽 纤维支气管镜检查 诊断 

分 类 号：R768.1[医药卫生—耳鼻咽喉科]