摘要
目的:探讨舌段支气管病变的纤支镜及病理特点。方法:回顾性分析54例经纤支镜检查和(或)病理检查确诊的舌段支气管病变的临床资料。结果:纤支镜刷检和(或)病理诊断舌段支气管病变54例,占同期纤支镜检查的2.8%,其中36例确诊为支气管肺癌,占舌段病变总数的66.7%,占同期经纤支镜检查确诊为肺癌的10.0%,与同期右中叶病变相比,癌的发生率(32.3%)高出1倍;所有病人都进行了胸部CT扫描,绝大部分表现为团块状阴影及阻塞性肺不张。纤支镜下能见到明显新生物生长者较少,只占癌病例的22.9%;主要表现为管腔狭窄及管壁肥厚、粗糙致管腔部分或完全阻塞。结论:舌段支气管病变早期诊断极为重要,纤支镜检查是很有价值的早期诊断手段。
Objective： To evaluate the clinical characteristic findings of lesions on lingular bronchus. Methods： All the cases examined by fiberopic bronchoscopy and （or） bronchial biopsy during the period of 1998- 2006 were evaluated retrospectively; Results： Abnormal lesions were found in 54 cases （2.8 %） , among them , bronchogenic carcinoma was pathologically documented in 36cases （66.7 %） . The incidence of cancer in lingular segment was much highter than that in right middle lobe . Conclusion： Special attention should be paid to the definite diagnosis on the bronchial lesions and bronchoscopy is valuable in early diagnosis of malignant illness.
出处
《陕西医学杂志》
CAS
北大核心
2007年第5期606-608,共3页
Shaanxi Medical Journal
