纤维支气管镜检查在肺不张病因诊断中的价值

纤维支气管镜（纤支镜）检查肺不张276例，其中肺癌185例（67．0％）、慢性炎症74例（2．8％）、结核14例（5．1％），其他病变3例，纤支镜检查诊断率依次为88．6％、90．5％、85．7％。纤支镜下主要表现为肿块型病变、浸润型病变、外压性改变等。为提高诊断率，应重视活极技术、采取活检、刷检等多方法取材及必要时纤支镜复查。认为对不明原因的肺不张均应予以纤夫镜检查。

THE DIAGNOSTIC VALUE OF FIBROBRONCHOSCOPY IN ATELECTASIS

A fibrobronchoscope was used to examine 276 atelectasis patients, including 185(67. 0 % ) lung cancer patients,74(26. 8 % ) chronic inflammation patients, 14(5. 1 % ) tuberculosis, and three others- 'The diagnostic rate of fibro-bronchoscopy for lung cancer, chronic inflammation and tuberculosis was 88. 6 %, 9o. 5 % and 85. 7 %, respectively-The main abnormal endoscopic findings observed were tumors, infiltration and external compression. In order to in-crease the diagnostic rate, it is important to pay more attention to biopsy technique, combining biopsy, brushing andother techniques, and re-examining the patient when necessary. The results sUggest that patients with atelectasis ofunknown cause should be examined with a bronchoscope.