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对经X线检查肺门阴影增大的不同类型患者,经胸部CT、痰细菌学、细胞学、病理学等检查仍不能确诊的患者,通过纤维支气管镜(纤支镜)检查获取病理组织或细菌学资料使其明确了病因病变类型及部位。本文38例纤支镜确诊率94.7％,肺肿瘤确诊率96.3％,肺结核确诊率100％,炎症确诊率100％,胸部X线检查与纤支铰检符合率76.3％。对比说明纤支镜对在肺亚段以上支气管腔内病变诊断率很高。对肺结核及肺癌的鉴别诊断可提供重要资料。肺门X线、CT等检查对病变性质、类型略有不足,但可为纤支镜检查提供重要影像资料,二者结合相得益彰。
X-ray examination of the hilar shadow increased in different types of patients, the chest CT, sputum bacteriology, cytology, pathology and other tests are still not diagnosed patients by fiberoptic bronchoscopy (bronchoscopy) to obtain pathological tissue or Bacterial information to make it clear the type and location of the cause of the disease. The diagnosis rate of bronchofiberscope in this paper was 94.7%, the diagnosis rate of lung tumor was 96.3%, the diagnosis rate of tuberculosis was 100%, the diagnosis rate of inflammation was 100%. The coincidence rate of chest X-ray examination and fibructomy was 76.3%. Contrast that bronchoscopy in bronchial sub-lung lesions above the high diagnostic rate. The differential diagnosis of tuberculosis and lung cancer can provide important information. Hilar X-ray, CT and other tests of the nature of the lesion, the type of slightly less, but for the bronchoscopy to provide important image data, the two complement each other.