42例右中叶肺不张的纤维支气管镜检查分析  

Analysis of 42 cases with right median lobe pulmonary closure inspected under fibrosis bronchoscope

作　　者：张家春[1] 雷智元 

机构地区：[1]成都铁路分局医院呼吸内科,四川成都610081

出　　处：《临床肺科杂志》2012年第1期30-31,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨右中叶肺不张的病因及纤维支气管镜检查对其诊断价值。方法对诊断为右中叶肺不张的42例患者进行纤支镜及病理检查,并结合手术结果对患者的病因、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27例,肺癌11例,支气管结核5例,异物1例。其中经纤支镜诊断非特异性炎症23例,肺癌10例,结核5例,异物1例,纤支镜诊断符合率分别为85.2%、90.9%、100%及100%,总诊断符合率为92.9%。结论纤支镜是明确右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 reasons of median lobe pulmonary closure inspected under fibrosis broochoscope. Methods 42 patients were diagnosed by clinical examination and X-ray chest film and they were examined with fibrosis hronchoscope and pathology combined with operation. Their causes of disease, characteristics under microscope and their age were analysed. Results With fibrosis bronchoscope,there were 23 nonspecific inflammation, 10 lung cancer,5 pulmonary tuberculosis and 1 different matter. The match rate of diagnosis was 85.2% ,90.9%, 100% and 100% respectively. The overall rate of diagnosis was 92.9%. Conclusion Fibrosis bronchoscope is a safe and effective method of diagnostic pulmonary closure. The indefinite pulmonary closure must be 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]