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目的 探讨纤维支气管镜检查对肺不张诊断的价值。方法回顾分析52例肺不张的纤维支气管镜检查结果。结果 52例肺不张右中叶发生率最高为34.6%,右上叶次之为19%,全叶最低为3.85%。肺不张病因,肺癌居首位占55.8%、炎症为30.7%、结核7.7%。肺癌好发部位为右上叶占27.6%,炎症、结核均好发右中叶,分别为68.7%和50%。纤维支气管镜结合病理检查肺不张病因确诊率为98%。结论纤维支气管镜检查是肺不张病因诊断极其重要的检查方法。
Objective To investigate the value of fiberoptic bronchoscopy in the diagnosis of atelectasis. Methods A retrospective analysis of 52 cases of atelectasis bronchoscopy results. Results The highest incidence of right middle lobe was 34.6% in 52 cases, 19% in right upper lobe and 3.85% in lower lobe. The cause of atelectasis, lung cancer in the first place accounted for 55.8%, inflammation was 30.7%, tuberculosis 7.7%. The incidence of lung cancer for the right upper lobe accounted for 27.6%, inflammation, tuberculosis are right middle and right hair, were 68.7% and 50%. Fiberoptic bronchoscopy combined with pathological examination atelectasis diagnosis rate of 98%. Conclusions Fiberoptic bronchoscopy is an extremely important test for the diagnosis of atelectasis.