吉林医学
吉林醫學
길림의학
JILIN MEDICAL JOURANL
2014年
30期
6664-6665
,共2页
电子支气管镜%肺不张%诊断
電子支氣管鏡%肺不張%診斷
전자지기관경%폐불장%진단
Electronic bronchoscope%Lung atelectasis%Diagnosis
目的:探讨电子支气管镜检查在肺不张病因诊断中的价值。方法:回顾性分析198例经胸片或胸部CT诊断为肺不张的患者行电子支气管镜检查,将这198例患者分为观察组,挑选同期间的198例肺不张患者,对其进行纤维支气管镜检查,并且视为对照组。并对所有肺不张患者的病因、镜下特点、部位及年龄分布进行分析。结果:观察组组中198例患者确诊为肺癌128例(64.6%),慢性炎性反应42例(21.2%),结核22例(11.1%),其他病因6例。对照组中肺癌125(63.13%),慢性炎性反应39(19.69%),结核18(9.09%),其他病因5(2.52%)。对照组检出率明显低于观察组。结论:电子支气管镜检查,是确定肺不张病因的主要手段,并能指导治疗,临床上对原因不明的肺不张患者均应及时行电子支气管镜检查。
目的:探討電子支氣管鏡檢查在肺不張病因診斷中的價值。方法:迴顧性分析198例經胸片或胸部CT診斷為肺不張的患者行電子支氣管鏡檢查,將這198例患者分為觀察組,挑選同期間的198例肺不張患者,對其進行纖維支氣管鏡檢查,併且視為對照組。併對所有肺不張患者的病因、鏡下特點、部位及年齡分佈進行分析。結果:觀察組組中198例患者確診為肺癌128例(64.6%),慢性炎性反應42例(21.2%),結覈22例(11.1%),其他病因6例。對照組中肺癌125(63.13%),慢性炎性反應39(19.69%),結覈18(9.09%),其他病因5(2.52%)。對照組檢齣率明顯低于觀察組。結論:電子支氣管鏡檢查,是確定肺不張病因的主要手段,併能指導治療,臨床上對原因不明的肺不張患者均應及時行電子支氣管鏡檢查。
목적:탐토전자지기관경검사재폐불장병인진단중적개치。방법:회고성분석198례경흉편혹흉부CT진단위폐불장적환자행전자지기관경검사,장저198례환자분위관찰조,도선동기간적198례폐불장환자,대기진행섬유지기관경검사,병차시위대조조。병대소유폐불장환자적병인、경하특점、부위급년령분포진행분석。결과:관찰조조중198례환자학진위폐암128례(64.6%),만성염성반응42례(21.2%),결핵22례(11.1%),기타병인6례。대조조중폐암125(63.13%),만성염성반응39(19.69%),결핵18(9.09%),기타병인5(2.52%)。대조조검출솔명현저우관찰조。결론:전자지기관경검사,시학정폐불장병인적주요수단,병능지도치료,림상상대원인불명적폐불장환자균응급시행전자지기관경검사。
Objective To investigate the value of electronic bronchoscopy in the diagnosis of pulmonary atelectasis. Methods A retro-spective analysis of 198 cases of chest X-ray or chest CT for the diagnosis of pulmonary patients underwent bronchoscopy atelectasis,198 cases of patients as the observation group,198 cases of patients with pulmonary atelectasis were sleleted during the same period,they checked with fiberoptic bronchoscopy,and etiology,mirror on patients with pulmonary atelectasis characteristics,location and age distribu-tion analysis. Results 198 patients diagnosed with lung cancer in 128 cases(64. 6%),42 cases of chronic inflammation(21. 2%),22 ca-ses of tuberculosis(11. 1%),6 cases of other causes. Conclusion Electronic bronchoscopy is the primary means to determine the pulmona-ry atelectasis,and can guide clinical treatment,atelectasis of unknown origin of patients should be timely for electronic bronchoscopy.