113例肺不张纤维支气管镜检查临床分析

目的　探讨纤支镜检查在肺不张病因诊断中的价值。方法　采用纤维支气管镜检查肺不张 113例。结果　右中叶肺不张的比例最高为 2 8.32 %,右上叶次之为 2 2 .12 %。肺癌居首位占 6 7 2 6 %,好发部位为右上叶支气管占 2 5 %;其次为炎症 2 3.0 1%,多见右中叶支气管占 5 3.85 %;结核占 7.0 8%,多发于两上叶及右中叶支气管 ,分别为 5 0 %,2 5 %。其诊断率依次为 91.14%、84.6 0 %、6 2 .5 0 %,总诊断率为 90 .2 6 %。结论　纤支镜对明确肺不张的部位及病因诊断起着重要作用。

Clinical Analysis of 113 Cases of Pulmonary Atelectasis by Fiberbronchoscopy

Objective To explore the cause of pulmonary atelectasis with fibrobronchoscopy. Methods 113 patients with pulmonary atelectasis were examined with fibrobronchoscopy. Results Atelectasis, arranged in a decreasing order of occurrence, was most often seen in the right medium lobe (28.32%), and then in the right superior lobe (22.12%). The pulmonary tumor ranked first (69.91%) which mostly occurred in the bronchi of the right superior lobe (25%); infection was in the second place (23.1%), mostly seen in the bronchi of the right medium lobe(53.85%); and tuberculosis (7.08%), mostly seen in the bronchi of the upper lobes and the right medium lobes (50% and 23% respectively). The diagnostic rate for the three groups were respectively 91.14%, 84.61% and 62.50%, with total rate of diagnosis 90.26%. Conclusion Fibrobronchoscopy plays an important role in the etiological diagnosis of pulmonary atelectasis.