摘要
目的探讨支气管镜检查对支气管及肺疾病不同病因诊断的价值,并了解其并发症。方法回顾性分析支气管镜检出12353例病人的检查结果。结果⑴12353例患者经可弯曲支气管镜联合组织病检及细胞学、细菌学等检查其中肺癌3925例、炎症1131例、霉菌15例、结核186例、气管肿瘤8例、气管异物23例、肺泡蛋白沉积症3例、肺泡微石症2例。⑵镜下特点:①肺癌:管内增殖型2125例(54.1%)、管壁浸润型1064例(27.1%)、管外压迫型449例(8.0%)、混合型401例(8.9%)、正常型70例(1.78%)。②炎症以脓性分泌物、血性分泌物/血块为主要表现。③结核以溃疡坏死、瘢痕狭窄,为主要表现。⑶主要并发症41例,发生率3.32‰,死亡2例(0.016%)。结论纤支镜检查对肺及支气管疾病的诊断具有重要价值、安全可靠。
Objective To investigate the bronchoscopy for bronchial and lung diseases, the diagnostic value of different causes, and to understand the complications. Methods A retrospective analysis of patients bronchoscopic the incidence of 12,353 cases. Results 1. 12353 cases by flexible bronchoscopy in patients with co-organized pathology examination, cytology, bacteriology and other tests, spe- cifically lung cancer 3925 cases, 1131 cases of inflammation, fungal in 15 cases, 186 cases of tuberculosis, tracheal tumor in 8 cases, for- eign body in 23 cases, 3 cases of pulmonary alveolar proteinosis, alveolar microlithiasis in 2. 2（2） microscopic characteristics： （1） lung cancer： proliferation and tube type 2125 cases （54. 1% ） , 1064 cases of infiltrating wall （27.1% ） , compression-type tube 449 cases （8.0%） , mixed 401 cases （8.9%） , normal type in 70 cases （ 1. 78% ）. （2） inflammation with purulent discharge, bloody discharge / blood clot as the main performance. （~ TB in ulcer necrosis, scar narrow, as the main performance. （3） major complications in 41 cases, the incidence of 3.32 %o, 2 deaths （0. 016% ）. Conclusion ： bronchoscopy for the diagnosis of lung and of great value.
出处
《临床肺科杂志》
2011年第5期703-704,共2页
Journal of Clinical Pulmonary Medicine
关键词
支气管镜
检查
并发症
bronchoscopy
check
complications
