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目的 :探讨电子支气管镜检查对肺不张病因诊断价值。方法 :选取某院2013年11月~2015年11月收治的150例肺不张患者作为研究对象,其中男性92例、女性58例;年龄20岁~78岁,平均年龄(56.5±2.5)岁,根据患者的影像学检查、电子支气管镜检查及病理学资料进行分析。结果 :患者产生肺不张的原因包括肺癌(32%)、炎症(28%)、结核(14%)、痰栓阻塞(8%)、血块阻塞(4%)、真菌(2%)、异物(2%),其他(10%)。>60岁患者肺不张病因肺癌25例占52%;<60岁患者肺不张病因炎症36例占86%;右肺不张病因中炎症18例占43%。肺不张电子支气管镜下表现新生物55例,其中肺癌36例占65%,结核12例占22%。这些原因与年龄、肺部的位置以及镜检的所见有着直接的关系,在进行电子支气管镜进行检查后,对肺不张病因诊断具有良好的效果,差异具有统计学意义(P<0.05)。结论 :电子支气管镜检查对肺不张病因以及对肺不张患者的部分治疗效果确切,可以作为首选方案加以推广使用。
Objective: To explore the value of electronic bronchoscopy in the diagnosis of atelectasis. Methods: A total of 150 atelectasis patients admitted to our hospital from November 2013 to November 2015 were selected, including 92 males and 58 females. The average age was 56.5 ± 2.5 years , According to the patient’s imaging examination, electronic bronchoscopy and pathology data analysis. RESULTS: The causes of atelectasis in patients included lung cancer (32%), inflammation (28%), tuberculosis (14%), sputum clogging (8%), clot blocking (4%), fungi (2%), others (10%). > 60-year-old patients with atelectasis due to lung cancer in 25 cases accounted for 52%; <60-year-old patients with atelectasis etiology 36 cases accounted for 86%; right atelectasis in inflammation 18 cases accounted for 43%. Atypical electron bronchoscopy showed 55 new organisms, of which 36 cases of lung cancer accounted for 65%, 12 cases of tuberculosis accounted for 22%. These causes are directly related to the age, location of the lungs and the findings of microscopic examination. After the electronic bronchoscope examination, the causes of atelectasis have a good effect, the difference was statistically significant (P <0.05) . Conclusion: Electronic bronchoscopy has the exact effect on the cause of atelectasis and partial treatment of atelectasis, and can be used as the first choice.