支气管镜检查对45例右肺中叶不张诊治分析

Clinical analysis of right middle lobe atelectasis under fiberoptic bronchoscopy (45 cases)

摘要:

目的 探讨支气管镜检查对右肺中叶不张的病因诊断和治疗价值。方法 收集该院2012年1月－2016年2月收治的45例右肺中叶不张并行支气管镜检查的病例，对其资料进行回顾性分析。结果 45例右肺中叶不张的患者中，行支气管镜检查及经其他临床检查资料确定炎症28例（62.2%），肿瘤9例（20.0%），结核4例（8.9%），异物1例（2.2%），原因不明3例（6.7%）。经治疗后治愈30例（66.7%），好转8例（17.8%），无效7例（15.5%）。结论 支气管镜检查对右肺中叶不张的病因诊断及治疗有较高的价值。

关键词:右肺中叶不张;支气管镜检查;诊治

Abstract:

Objective To investigate the value of bronchoscopy in the etiologic diagnosis and therapy of right middle lobe atelectasis. Methods Clinical data of 45 cases of right middle lobe atelectasis under fiberoptic bronchoscopy from January 2012 to February 2016 were analyze retrospectively. Results 28 cases (62.2 %) were determined inflammation, 9 cases (20.0 %) of tumor, 4 cases (8.9 %) of tuberculosis, 1 case (2.2%) of foreign body, 3 cases (6.7 %) unexplained. After treatment, 30 cases (66.7 %) were cured, 8 cases (17.8 %) improved while 7 cases (15.5 %) invalid. Conclusions The bronchoscopy is a critical technology for diagnosis and therapy of right middle lobe atelectasis.

Key words:right middle lobe atelectasis; bronchoscopy; diagnosis and treatment