肺不张支气管镜检查86例分析

Analysis of bronchoscopy of 86 cases with atelectasis

目的:探讨肺不张的常见病因及支气管镜对肺不张的诊断价值。方法:对86例肺不张患者进行支气管镜检查,并对其结果进行分析。结果:支气管镜对86例肺不张病因诊断率为93.02%,以肺癌最为常见(54例),其中鳞癌40例;炎症17例,结核8例,支气管扩张6例,异物1例。结论:肺不张的病因中以肺癌最为常见,其中又以鳞癌为主要病理类型。支气管镜不但可以诊断病因,同时也可起到一定的治疗作用。

Objective： To explore the etiological causes of atelectasis and to assess the value of bronchoscopy in the diagnosis of atelectasis. Methods： Eighty-six patients with atelectasis were examined by bronchoscope, and the results were analyzed. Results ： The etiological causes of 86 cases of atelectasis were determined by bronchoscope, with a diagnosis rate of 93.02%. Among the 86 cases of atelectasis,lung cancers accounted for 54 cases, including 40 cases of squamous cell carcinoma,inflammation was observed in 17 cases, tuberculosis in 8 cases,bronchiectasis in 6 cases and foreign body in 1 case. Conclusions：The main etiological cause of atelectasis is lung cancer,with squamous cell carcinoma as the main type. Bronchoscopy is not only of help to the diagnosis of atelectasis but has therapeutical effect as well.