纤支镜选择性支气管造影对肺部疾病的诊断意义  

Significance of Fibero一bronchoscopic Selective Bronchography in the Diagnosis of Lung Disorders

作　　者：徐天博[1] 高鲁芳[1] 姚秀云[1] 徐子平[1] 徐康 郑保国 任德印[1] 崔允峰[1] 武东斌 

机构地区：[1]山东省立医院,山东省医学影像研究所

出　　处：《实用放射学杂志》1995年第7期409-411,共3页Journal of Practical Radiology

摘　　要：对６４例肺疾病患者应用纤支镜选择性支气管造影检查。结果显示肺癌组病变处支气管呈不规形扁平，刀鞘与鼠尾状狭窄，造影缺损、阻塞、管壁僵硬如枯枝状；肺泡癌有肺泡充盈不良，缺损和造影剂不能进入肺泡。肺炎组病变支气管均充盈显影。肺结核组支气管呈变形、扭曲、扩张和狭窄。支气管扩张、肺良性肿瘤、肺结节病，病灶处支气管均清晰显影，部分病例有压迫支气管推移变形，对肺部周围性病变未确诊者进行选择性造影可提高诊断率。Fibero一bronchoscopicselective bronchography was performed in 64 patients with variouslung disorders. The results showed that in lung cancer bronchi involved were irregular flattening, sword一sheath shaped or rat一tail shaped stricture,filling defects, obstruction and rigidity of the bronchial wall; inalveolar carcinoma the lesions were characterized by alveolar filling defects or failure fining in pulmcnary tu-berculosis the bronchi demonstratedvarious dysmorphosis such as twisting,slenosis and/or dilating. Inbronchiectasis,benign tumor of the lungs and pulmonary sarcoidosis the bronchi around the lesions were wellfilled, and distortion of the bronch; was found in certain cases. The selective bronchography may be of diag-nostic value in patients with peripheral lesions of the lungs.

关 键 词：纤支镜 支气管造影 肺疾病 诊断 

分 类 号：R816.4[医药卫生—放射医学]