272例中老年肺不张患者的纤维支气管镜检查分析

Fiberoptic bronchoscopy analysis for 272 cases elderly patients with pulmonary atelectasis

目的 探讨纤维支气管镜 (纤支镜 )检查在肺不张病因诊断中的价值分析。方法 对经临床、胸部X线及肺部CT检查确诊为肺不张的 2 72例中老年患者行纤支镜检查 ,经纤支镜活检、刷检、涂片检查明确肺不张的病因。结果 经纤支镜检查确诊为肺癌 12 6例 (46 .3% ) ,炎症 10 8例 (39.7% ) ,支气管内膜结核 32例(11.8% ) ,支气管异物 6例 (2 .2 % )。结论 目前临床上纤支镜检查是明确肺不张病因的主要手段 ,对原因不明的肺不张均应及时行纤支镜检查。

Objective: To investigate the etiologic diagnostic efficacy of atelectasis in lung fiberoptic bronchoscopy.Methods: The results of chest roentgenogram(CR) and computed chest tomograms(CT) were atelectasis ,272 cases with atelectasis in lung were examined by fiberoptic bronchoscopy,in addition to biopsy,brash biopsy,and staining.Results:The final causes of atelectasis were lung cancer in 126 cases(46.3%) ,bronchiectasis in 108 cases(39.7%),pulmonary tuberculosis in 32 cases(11.8%),and foreign bodies in the bronchi in 6 cases(2.2%).Conclusions:It was considered that the bronchofiberscopy was important in the pathological diagnosis for pulmonary atelectasis.