摘要
目的 探讨纤支镜检查在肺不张病因诊断中的价值。方法 采用纤维支气管镜检查肺不张 113例。结果 右中叶肺不张的比例最高为 2 8.32 %,右上叶次之为 2 2 .12 %。肺癌居首位占 6 7 2 6 %,好发部位为右上叶支气管占 2 5 %;其次为炎症 2 3.0 1%,多见右中叶支气管占 5 3.85 %;结核占 7.0 8%,多发于两上叶及右中叶支气管 ,分别为 5 0 %,2 5 %。其诊断率依次为 91.14%、84.6 0 %、6 2 .5 0 %,总诊断率为 90 .2 6 %。结论 纤支镜对明确肺不张的部位及病因诊断起着重要作用。
Objective To explore the cause of pulmonary atelectasis with fibrobronchoscopy. Methods 113 patients with pulmonary atelectasis were examined with fibrobronchoscopy. Results Atelectasis, arranged in a decreasing order of occurrence, was most often seen in the right medium lobe (28.32%), and then in the right superior lobe (22.12%). The pulmonary tumor ranked first (69.91%) which mostly occurred in the bronchi of the right superior lobe (25%); infection was in the second place (23.1%), mostly seen in the bronchi of the right medium lobe(53.85%); and tuberculosis (7.08%), mostly seen in the bronchi of the upper lobes and the right medium lobes (50% and 23% respectively). The diagnostic rate for the three groups were respectively 91.14%, 84.61% and 62.50%, with total rate of diagnosis 90.26%. Conclusion Fibrobronchoscopy plays an important role in the etiological diagnosis of pulmonary atelectasis.
出处
《皖南医学院学报》
CAS
2001年第3期184-185,共2页
Journal of Wannan Medical College
