癌性肺不张的纤支镜检查结果分析

目的:探讨肺癌所致肺不张的纤支镜特征。方法:回顾性分析32例癌性肺不张患者的临床资料和纤支镜特征。结果:左侧(16例,50％)与右侧(16例,50％)一致,纤支镜下直视所见率为100％,31例经活检和刷检确诊为肺癌,阳性率96.9％,以腔内增殖型最多见(23例,71.9％);病理类型以鳞癌为主(22例,68.8％)。纤支镜下肺癌阻塞部位与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 Malignant Atelectasis

Objective: To understand further the fiberobronchoscopic findings of malignant atelectasis. methods: The findings of 32 patients with malignant atelectasis examined with fiberobronchosoopy were retrospectively ana-lyzed. Results : Atelectasis occurred in the right lung in 16 cases(50% ) and in the left lung in 16 cases(50% ) . The direct fiberobronchoscopic features of lung cancers were present in all the patients. The diagnosis was confirmed with fiberobronchoscopy and/or blush examination in 31 cases with positive rate of 96.9% ,tobular mass was the most(23 cases, 71.9%). Among the 32 cases there were 22 cases of squamous carcimoma ( 68.8 % ) , the morphological features of fiberobronchoscopic findings were closely related to the pathological types of lung cancers. Conclusion : The patients with atelectasis discovered with x-rays should be examined with fiberobronchoscopy as early as possible to rule ort its malignant nature.