右肺中叶综合征60例临床分析  

Clinical analysis of right middle lobe syndrome in 60 cases

作　　者：杨健[1] 吴世明[1] 

机构地区：[1]安徽省六安市立医院呼吸内科,237000

出　　处：《淮海医药》2016年第1期36-37,共2页Journal of Huaihai Medicine

摘　　要：目的:探讨右肺中叶综合征的病因及纤维支气管镜的诊断价值。方法:对X线胸片及胸部CT影像学检查临床诊断为右肺中叶综合征的60例患者行纤维支气管镜检查,并在镜下行刷检、活检、灌洗检查,对其病因及诊断阳性率进行回顾性分析总结。结果:本组60例中,炎症37例,肺癌14例,结核6例,通过纤支镜诊断阳性率为88.33%,其中炎症阳性率为91.89%,肺癌阳性率为85.71%,结核阳性率为66.67%。结论:引起右肺中叶综合征的常见病因为炎症、肿瘤和结核,纤维支气管镜对中叶综合征检查有较高的诊断价值。Objective： To explore the etiology and fibrobronchoscope diagnostic value of right middle lobe syndrome. Methods： 60 patients who had been diagnosed as right middle lobe syndrome through X-ray chest film or chest CT received the fibrobronchoscopic examination,biopsy,brushing and bronchial lavage. The etiology and diagnostic positive rate were retrospectively analyzed. Results： Of the60 cases,37 were affected with inflammation（ 61. 7%）,14 with tumor（ 23. 3%）,and 6 with tuberculosis（ 10%）. The rate of positive finging was 88. 33% by fibrobronchoscope,accounting for most of the cases. Diagnostic rates for the three above-mentioned diseases were 91. 89%,85. 71% and 66. 67% respectively. Conclusion： By fibrobronchoscopic examination,the most common causes of right middle lobe syndrome are inflammation,tumor and tuberculosis. Fibrobronchoscope has significant diagnostic value in determining middle lobe syndrome.

关 键 词：中叶综合征 支气管镜检查 临床分析 

分 类 号：R563.4[医药卫生—呼吸系统]