肺不张纤维支气管镜检查590例分析

目的:探讨纤维支气管镜(纤支镜)检查在肺不张病因诊断中的价值。方法:对临床及胸部X线、CT检查诊断为肺不张的590例患者行纤支镜检查,并对其病因、镜下特点、部位及年龄等进行分析。结果:肺癌428例,炎症133例,结核21例,支气管异物5例,曲菌2例,淋巴瘤1例。结论:纤支镜检查是明确肺不张病因的主要手段,对原因不明的肺不张均应及时行纤支镜检查。

Fibrobronchoscopy in diagnosis of atelectasis:report of 590 cases

Objective:To assess the value of fibrobronchoscopy in diagnosis of atelectasis.Methods:Five hundred and ninety patients with atelectasis confirmed by X-rays and computed chest tomograms(CT)were examined by fibrobronchoscopy,and the causes of disease,the features of fibrobronchoscopy,the location and age of the patients were analyzed.Results:Of the 590 cases,lung cancer accounted for 428,chronic inflammation was observed in 133 cases,tuberculosis in 21 cases,foreign bodies in 5 cases,aspergillus in 2 cases and lymphoma in 1 case.Conclusions:Fibrobronchoscopy is an important means in pathological diagnosis of atelectasis.Patients with atelectasis should resort to fibrobronchoscopy as early as possible.