电子支气管镜对肺不张病因的诊断价值  

The value of electronic bronchoscopy in the diagnosis of pulmonary atelectasis

作　　者：刘宇智[1] 郑炎标 王海斌[1] 

机构地区：[1]广东省惠州市惠阳区人民医院内二科,广东惠州516200

出　　处：《吉林医学》2014年第30期6664-6665,共2页Jilin Medical Journal

摘　　要：目的:探讨电子支气管镜检查在肺不张病因诊断中的价值。方法:回顾性分析198例经胸片或胸部CT诊断为肺不张的患者行电子支气管镜检查,将这198例患者分为观察组,挑选同期间的198例肺不张患者,对其进行纤维支气管镜检查,并且视为对照组。并对所有肺不张患者的病因、镜下特点、部位及年龄分布进行分析。结果:观察组组中198例患者确诊为肺癌128例(64.6%),慢性炎性反应42例(21.2%),结核22例(11.1%),其他病因6例。对照组中肺癌125(63.13%),慢性炎性反应39(19.69%),结核18(9.09%),其他病因5(2.52%)。对照组检出率明显低于观察组。结论:电子支气管镜检查,是确定肺不张病因的主要手段,并能指导治疗,临床上对原因不明的肺不张患者均应及时行电子支气管镜检查。Objective To investigate the value of electronic bronchoscopy in the diagnosis of pulmonary atelectasis. Methods A retro-spective analysis of 198 cases of chest X-ray or chest CT for the diagnosis of pulmonary patients underwent bronchoscopy atelectasis,198 cases of patients as the observation group,198 cases of patients with pulmonary atelectasis were sleleted during the same period,they checked with fiberoptic bronchoscopy,and etiology,mirror on patients with pulmonary atelectasis characteristics,location and age distribu-tion analysis. Results 198 patients diagnosed with lung cancer in 128 cases（64. 6%）,42 cases of chronic inflammation（21. 2%）,22 ca-ses of tuberculosis（11. 1%）,6 cases of other causes. Conclusion Electronic bronchoscopy is the primary means to determine the pulmona-ry atelectasis,and can guide clinical treatment,atelectasis of unknown origin of patients should be timely for electronic bronchoscopy.

关 键 词：电子支气管镜 肺不张 诊断 

分 类 号：R563.4[医药卫生—呼吸系统]