老年人癌性肺不张的纤支镜检查

Analysis of fiberobronchoscopic examination for malignant atelectasis

目的 探讨老年人肺癌所致肺不张的纤支镜特征。方法 分析 5 6例癌性肺不张患者的临床资料和纤支镜特征。结果 右侧 39例 6 9.6 % )多于左侧 (17例 30 .4% ) ,纤支镜下直视所见率为 10 0 % ,5 3例经活检和刷检确诊为肺癌 ,阳性率 94.6 % ,以腔内增殖型最多见 (4 3例 ,71.4% ) ,病理类型以鳞癌为主 (38例 ,6 7.9% )。纤支镜下肺癌阻塞部位与 X线胸片表现基本一致 ,纤支镜下的形态特征与病理类型密切相关。结论 对 X线显示肺癌并肺不张者 ,应积极行纤支镜检查 ,尽早确诊。

Objective To understand further the fiberobronchoscopic findings of malignant atelectasis.Methods The findings of 56 patients with malignant atelectasis through fiberobronchoscopy were retrospectively analyzed.Results Atelectasis occurred in the right lung in 39 cases(69.6%) and in the left 17 cases(30.4%).The direct fiberobronchoscopic features of lung cancers were present in all the patients.The diagnosis was confimed with fiberobronchoscopy and/or blush examination in 53 cases with positive rate of 94.6%,tubular mass was the most(43 cases,71.4%),Among the 56 cases,there were 38 cases of squamous carcinoma(67.98%).The morphological features of fiberobronchoscopic finding were closely related to the pathological types of lung cancers.Conclusion The patients with atelectasis discovered with x-rays should be examined with fiberbronchoscopy as early as possible to rule out its malignant nature.