咯血患者胸部影像学与纤维支气管镜检查对比分析

Comparative analysis of chest imaging and fiberoptic bronchoscopy for 458 cases of empsyxis

目的探讨胸部影像学与纤维支气管镜(FB)检查在咯血患者诊断中的作用。方法回顾性分析458例咯血患者的临床资料,对胸部影像学、FB所见,镜下活检并刷检的病理诊断等进行对比分析。结果458例咯血患者胸部影像学发现异常422例,阳性率92.1%,经FB病因诊断426例,阳性率93.0%。FB诊断主要病因:肺癌165例(36.0%)、炎症157例(34.3%)、结核76例(16.6%)。胸部影像学检查对FB检查的符合率为89.1%。结论在胸部影像学的基础上,FB检查对明确咯血部位及病因诊断具有重要的临床价值。

Objective To investigate the diagnostic value of chest imaging and fiberoptic bronchoscopy （FB） for the patients with empsyxis. Methods Clinical data, examination of FB findings, results of bronchoscopic and bronchoscopic brushing examination for pathology of 458 patients were retrospectively investigated. Results In all 458 cases, 422 were diagnosed by chest imaging and the positive rate was 92.1%; 426 were diagnosed by FB and the positive rate was 93.0%, including 165 cases （36.0%） were lung cancer,157 cases （34.3%） were inflammation, 76 cases （16.6%） were pulmonary tuberculosis. The coincidence rate of chest imaging and FB was 89.1%. Conclusion FB based on chest imaging can play an important role for defining location of empsyxis and etiological diagnosis.