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为探讨肺结核与肺癌纤支镜镜检的表现特点,本文将近年155例纤支镜检查结果与病理检查结果作回顾性分析,报告于下。1 临床资料1.1病例:155例中,肺结核105例,其中,男83例,女22例。年龄26～74岁。肺癌50例中,男47例,女3例,年龄51～76岁,临床表现:以少量咯血为主,咯血时间3天～1年。1.2方法:采用Olympus BF-B3R型纤支镜。病人平卧位。经鼻腔插入。术前用药和局麻均按镜检常规,发现病变取组织行病理检查。1.3结果1.3.1肺结核:105例中,无异常发现37例,局部有镜下改变的68例中,充血、水肿30例,支气管管腔狭窄17例,出血、粘膜苍白各5例,溃疡4例,结节3例,支气管管腔闭塞2例。
In order to explore the performance characteristics of pulmonary tuberculosis and lung cancer bronchoscopy, this article in recent years, 155 cases of bronchoscopy and pathological examination results for retrospective analysis, the report below. 1 clinical data 1.1 cases: 155 cases, 105 cases of tuberculosis, of which 83 were men and 22 were women. Age 26 ~ 74 years old. 50 cases of lung cancer, 47 males and 3 females, aged 51 to 76 years old, the clinical manifestations: mainly hemoptysis, hemoptysis for 3 days to 1 year. 1.2 Methods: Olympus BF-B3R bronchoscopy. Patient supine position. Transnasal insertion. Preoperative medication and local anesthesia by microscopic examination routine, pathological examination of tissue was found lesions. 1.3 Results 1.3.1 Pulmonary tuberculosis: 105 cases, no abnormality was found in 37 cases, local changes in microscopy of 68 cases, congestion, edema in 30 cases, bronchial stenosis in 17 cases, bleeding, mucosal pale in 5 cases, ulcers 4 For example, nodules in 3 cases, bronchial lumen occlusion in 2 cases.