中国医药
中國醫藥
중국의약
China Medicine
2015年
11期
1591-1593
,共3页
邵杰%杨玉东%朱红强%岳秀%樊建勇%焦婕英%刘承洁
邵傑%楊玉東%硃紅彊%嶽秀%樊建勇%焦婕英%劉承潔
소걸%양옥동%주홍강%악수%번건용%초첩영%류승길
咯血%诊断%支气管镜
咯血%診斷%支氣管鏡
각혈%진단%지기관경
Hemoptysis%Diagnosis%Tracheoscopy
目的 探讨咯血患者支气管镜下的形态位置等表现对临床诊断的意义.方法 回顾性分析2009年1月至2014年12月兵器工业五二一医院门诊或住院的877例咯血患者的支气管镜检查结果和临床资料,包括支气管镜下病变形态表现、病变位置、影像学表现、最后确诊疾病、确诊方法等.结果 877例咯血患者支气管镜下病变形态表现主要为结节状肿物240例(27.4％)、未见异常121例(13.8％)、充血水肿102例(11.6％)、粗糙不平91例(10.4％)、管腔狭窄81例(9.2％);病变主要位于右上支气管123例(14.0％)、左上支气管116例(13.2％)、左下支气管65例(7.4％)、左主支气管63例(7.2％)、右下支气管61例(7.0％);46.4％(407/877)的患者伴随有明显的咳嗽,55.0％(482/877)的患者影像学表现为肺部肿块影;21.8％ (191/877)的患者确诊为鳞癌;共674例确诊,确诊方法以活检[72.8％ (491/674)]为主.结论 咯血患者支气管镜下病变部位及形态对临床诊断具有重要意义,活组织检查仍是最终确诊的最主要的方式.
目的 探討咯血患者支氣管鏡下的形態位置等錶現對臨床診斷的意義.方法 迴顧性分析2009年1月至2014年12月兵器工業五二一醫院門診或住院的877例咯血患者的支氣管鏡檢查結果和臨床資料,包括支氣管鏡下病變形態錶現、病變位置、影像學錶現、最後確診疾病、確診方法等.結果 877例咯血患者支氣管鏡下病變形態錶現主要為結節狀腫物240例(27.4％)、未見異常121例(13.8％)、充血水腫102例(11.6％)、粗糙不平91例(10.4％)、管腔狹窄81例(9.2％);病變主要位于右上支氣管123例(14.0％)、左上支氣管116例(13.2％)、左下支氣管65例(7.4％)、左主支氣管63例(7.2％)、右下支氣管61例(7.0％);46.4％(407/877)的患者伴隨有明顯的咳嗽,55.0％(482/877)的患者影像學錶現為肺部腫塊影;21.8％ (191/877)的患者確診為鱗癌;共674例確診,確診方法以活檢[72.8％ (491/674)]為主.結論 咯血患者支氣管鏡下病變部位及形態對臨床診斷具有重要意義,活組織檢查仍是最終確診的最主要的方式.
목적 탐토각혈환자지기관경하적형태위치등표현대림상진단적의의.방법 회고성분석2009년1월지2014년12월병기공업오이일의원문진혹주원적877례각혈환자적지기관경검사결과화림상자료,포괄지기관경하병변형태표현、병변위치、영상학표현、최후학진질병、학진방법등.결과 877례각혈환자지기관경하병변형태표현주요위결절상종물240례(27.4％)、미견이상121례(13.8％)、충혈수종102례(11.6％)、조조불평91례(10.4％)、관강협착81례(9.2％);병변주요위우우상지기관123례(14.0％)、좌상지기관116례(13.2％)、좌하지기관65례(7.4％)、좌주지기관63례(7.2％)、우하지기관61례(7.0％);46.4％(407/877)적환자반수유명현적해수,55.0％(482/877)적환자영상학표현위폐부종괴영;21.8％ (191/877)적환자학진위린암;공674례학진,학진방법이활검[72.8％ (491/674)]위주.결론 각혈환자지기관경하병변부위급형태대림상진단구유중요의의,활조직검사잉시최종학진적최주요적방식.
Objective To evaluate the value of tracheoscopy feature patients with hemoptysis.Methods Tracheoscopy data of 877 patients with hemoptysis from January 2009 to December 2014, including lesion features and position, were retrospectively analyzed.The manifestation of imaging and diagnosis method were also analyzed.Results The manifestations of tracheoscopy in patients with hemoptysis were shown as nodular lesions in 240 cases (27.4％), no abnormalities in 121 cases (13.8％) , congestion and edema in 102 cases (11.6％), tough irregular surface in 91 cases (10.4％), stenosis in 81 cases (9.2％);the lesions located in the right upper bronchus in 123 cases (14.0％), in the left upper bronchus in 116 cases (13.2％), in the left lower bronchus in 65 cases (7.4％), in the left main bronchus in 63 cases (7.2％), in the right lower bronchus in 61 cases (7.0％).A total of 46.4％ (407/877) patients had obvious cough;55.0％ (482/877) patients showed mass on the lung in imaging.Totally 21.8％ (191/877) patients were diagnosed as squamous carcinoma.There were 674 cases with definite diagnosis which was confirmed by biopsy[72.8％ (491/674)].Conclusion Tracheoscopy is of great values in diagnosing causes in patients with hemoptysis;biopsy is the mainly method for definite diagnosis.
