纤维支气管镜对中叶肺不张的诊断价值  

Diagnostic value of median lobe pulmonary closure inspected under fibrosis bronchoscope

作　　者：王莉[1] 

机构地区：[1]湖北省潜江市江汉石油管理局中心医院,湖北潜江433124

出　　处：《中国内镜杂志》2006年第1期79-81,共3页China Journal of Endoscopy

摘　　要：目的探讨纤维支气管镜检查对右中叶肺不张的病因诊断价值。方法对临床及X线胸片诊断为中叶肺不张的50例患者进行纤支镜及手术病理检查,并结合外科手术对患者的病因、镜下特点及年龄进行综合分析。结果经纤支镜及手术综合诊断非特异性炎症24例,肺癌18例,支气管结核6例。其中经纤支镜诊断非特异性炎症23例,肺癌16例,结核5例,异物1例,纤支镜诊断符合率分别为95.8%、88.9%、83.3%及100%,总诊断符合率为90.0%。其中40岁以上患者21例,非特异性炎症9例,占42.9%,肺癌10例,占47.6%,结核2例,占9.5%;40岁以下患者29例,非特异性炎症15例,占51.7%,肺癌8例,占27.6%,结核4例,占13.8%。结论纤维支气管镜是明确中叶肺不张病因安全有效的手段,对原因不明的中叶肺不张应及时行纤支镜检查。[Objective] To study the diagnostic value of median lobe pulmonary closure inspected under fibrosis bronchoscope. [Methods] Fifty patients were diagnosed by clinical examination and X-ray chest film, and whom were examined with fibrosis bronchoscope and pathology, combined with operation, analysed their cause of disease, characteristic under microscope and their age. [Results] With fibrosis bronchoscope, there were 23 nonspecitlc inflammation, 16 lung cancer, 5 pulmonary tuberculosis and ldifferent matter. The match rate of diagnosis was 95.8%, 88.9%, 83.3% and 100% respectively. The overall rate of diagnosis was 90.0%. There were 21 patients over 40 years in them, 9 nonspecific inflammation（42.9%）, 10 lung cancer （47.6%） and 2 pulmonary tuberculosis （9.5%）. There were 29 patients less than 40 years, 15 nonspecific inflammation （51.7%）, 8 lung cancer （27.6%） and 4 pulmonary tuberculosis（13.8%）. [Conclusion] Fibrosis bronchoscope is a safe and effective method of diagnostic pulmonary closure. The indefinite pulmonary closure must be to under the fibrosis bronchoscope immediately.

关 键 词：右中叶肺不张 纤维支气管镜 

分 类 号：R563.4[医药卫生—呼吸系统]