纤维支气管镜对癌性肺不张的诊断分析

目的：探讨癌性肺不张的纤维支气管镜（简称纤支镜）特征.方法：回顾性分析71例癌性肺不张患者的临床资料和纤支镜特征.结果：右侧多于左侧（1.6：1）,上叶多于下叶（2.29：1）,纤支镜下直接所见率100%,以腔内增殖型最多见（54例,76.06%）;病理类型以鳞癌为主（43例,60.56%）,肺癌阻塞部位与X线胸片表现基本一致,纤支镜下的形态特征与病理类型密切相关.结论：对X线检查示肺癌并肺不张者,应积极行纤支镜检查,尽早确诊.

Analysis of fiberobronchoscopic examination for the diagnosis of malignant atelectasis

Objective: To approach the fiberobronchoscopic characteristics of malignant atelectasis.Methods: Retrospective analysis of the clinical data and fiberobronchoscopic findings of 71 patients with malignant atelectasis was made.Results: Atelectasis occurred in the right lung more than in the left with the ratio of 1.6 to 1,and in the upper lobe more than in the lower lobe with the ratio of 2.29 to 1.The direct fiberobronchoscopic features of lung cancer were present in all patients.Tubular masses were seen in most cases(43 cases,76.06%).Among the 71 cases there were 43 cases of squamous carcinoma(60.56%) which was of the pathological category.And the morphological features in fiberobronchoscopic findings were closely related to the pathological categories of lung cancers.Conclusion: Patients with atelectasis discovered by means of X-rays should be examined with fiberobronchoscopy as early as possible for final diagnosis.