肺不张298例电子支气管镜检查结果分析

    The analysis of electronic bronchoscope examination in 298 cases with atelectasis

    • 摘要: 目的:探讨电子支气管镜在肺不张病因诊断中的应用价值。方法:分析电子支气管镜检查的298例肺不张患者的镜下特点,并对其病因、部位和年龄等因素进行综合分析。结果:298例肺不张患者的发生原因中,肺癌、炎症、结核、异物、曲霉菌、痰栓、韦格肉芽肿、原因不明分别为199、61、19、5、3、3、1和7例。确诊291例,确诊率97.65%。右侧肺不张比例多于左侧,上叶肺不张比例多于下叶;中、老年组肺癌发病率高于青年组(P0.01);青年组炎症、结核发病率均高于中、老年组(P0.05~P0.01)。结论:电子支气管镜检查是明确肺不张病因的安全有效的检查方法。

       

      Abstract: ObjectiveTo explore the value of electronic bronchoscope in the diagnosis of atelectasis. Methods: The features of electronic bronchoscope, the causes and location of disease and age of patients of 298 cases with atelectasis were comprehensively analyzed.Results: Among 298 patients with atelectasis, lung cancer in 199 cases, inflammation in 61 cases, tuberculosis in 19 cases,foreign bodies in 5 cases, aspergillus in 3 cases, sputum bolt in 3 cases,Wegener's granulomatosis in 1 case and no clear causes in 7 cases were found.Two hundred and ninty one cases were diagnosed, the diagnostic rate was 97.65%.The incidence rate of right lung atelectasis was significantly higher than that in left lung,upper lobe atelectasis rather than under the leaves ( P 0.01) .The incidence of lung cancer in elderly people( more than 40 years) were significantly higher than that in young people( less than or equal to 40years) .The incidences of inflammation and tuberculosis in young were higher than those in elderly people( P 0.05 to P 0.01) . Conclusions: It is important of electronic bronchoscope to diagnose the cause of atelectasis.

       

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