不同肺叶肺癌支气管镜下肺活检出血量比较观察

Comparative Observe on Blood Volume Detected by Bronchoscopy in Lung Cancer of Different Lobes

目的:探讨不同肺段肺癌支气管镜下肺活检出血量多少。方法:分析了2015年3月至2018年4月79例肺癌患者支气管镜下不同肺叶肺活检出血量的多少。结果:79例患者没有一例因为支气管镜下肺活检出血导致死亡,不同肺叶肺活检后出血量按照出血的程度分级(20mL以下为少量出血,20～100mL为中量出血,100mL以上为大量出血)没有明显的统计学差异,但从具体的出血量比较,上叶尖后段平均出血量(22.30±28.378) m L,中叶或舌段出血量(36.69±40.145) m L,下叶基底段出血量(13.69±15.785) m L,三者比较出血量有统计学差异(P<0.05)。结论:支气管镜下肺活检总体来说还是比较安全的,中叶或舌段出血量明显大于上叶和下叶基底段,而下叶基底段在各段中出血量最少。

Objective: To investigate the volume of hemorrhage after lung biopsy in the different lung segments under bronchoscope of lung cancer patients. Methods: A analysis was made about the volume of hemorrhage in different lung segments biopsy under bronchoscope in 79 patients with lung cancer between March 1, 2015 and April 1, 2018. Result: Not patients death in the 79 cases because of lung biopsy , according to the degree of bleeding after different lung lobe biopsy classification (20ml each of the following is a small amount of bleeding, 20 ml to 100 ml for the medium amount of bleeding, more than 100ml for a large number of bleeding),there are no significant statistical differences in the three groups , but from The specific amount , Mean blood loss at the posterior segment of apicoposterius segment in upper lobus(22.30±28.378) ml, lobus medius or lingulare segment(36.69±40.145) ml, and lower lobe basale segment (13.69±15.785) ml.the comparison in the three lobus were statistically significant (P<0.05). Conclusion: Lung biopsy under bronchoscope is generally safe, and the amount of hemorrhage in the lobus medius or lingulare segment is significantly greater than that in the upper and lower lobe basale segments, which have the lowest amount of bleeding in each segment.