纤维支气管镜诊治呼吸系统疾病620例临床分析

Clinical analysis of 620 cases of bronchofibroscopy

目的探讨纤维支气管镜对呼吸系统疾病的诊断与治疗价值。方法对620例患者纤维支气管镜诊断和治疗结果进行分析。结果阳性检出率为94·3%,炎症(包括脓疡)、肿瘤、结核的阳性检出率分别为61·3%、25%、7·9%,其中对410例炎症性病变或合并有炎症性病变者利用纤维支气管镜进行吸痰、灌洗、滴药等治疗,疗效显著。结论纤维支气管镜检查对于呼吸系统疾病的诊断、鉴别诊断和临床治疗具有重要价值,且该检查和治疗操作是较安全的。

Objective To investigate the value of bronchofibroscopy in the diagnosis and treatment of respiratory diseases. Methods 620 cases of hronchofibroscopy were concluded and studied. Results Positive results were obtained in 94.3% of all cases. The rate of those with inflammation （ including abscess）, tumor and T.B. were 61.3% ,25% and 7.9% respectively. Treatment during bronchoscopy with local suction, irrigation and drug dripping in 410 cases of inflammation showed satisfactory results. Conclusion Bronchofibroscopy is of vital importance in the diagnosis, differential diagnosis and clinical treatment of respiratory diseases. The related examination and treatment are safe and effective.