摘要
目的探讨电子支气管镜在支气管扩张症中的应用价值。方法回顾性分析47例行电子支气管镜检查及治疗的支气管扩张症患者的镜下诊断及治疗结果。结果支气管镜检查支气管管腔异常阳性率76.6%,其中段及段以下支气管管腔变形、狭窄发生率为53.2%,支气管管腔呈"气球样"或"弹坑样"异常扩张性改变发生率为21.3%。镜下治疗有效率83%,其中镜下止血治疗或清理支气管管腔积血占38.3%,镜下吸痰占42.6%。经支气管镜镜下治疗后,所有病例病情均明显缓解。无严重并发症。结论电子支气管镜技术可以大大提高支气管扩张症的诊疗水平,尤其对咯血等治疗方面具有独特的作用。
Objective To investigate the value of electronic bronchoscopy in bronchiectasis.Methods Retrospective analysis the treatment results of 47 cases with bronchiectasis which diagnosis and treatment by electronic bronchoscopy.Results The abnormal rate of bronchial positive was 76.6%,the incidence rate of bronch-lumens stricture and deformation was 53.2%,and the incidence rate of bronch-lumens change abnormality was 21.3%,bronch-lumens looks as ＂balloon＂ or ＂shell crater＂。 The effective rate of endoscopic therapy was 83%,38.3% was treated by stop bleeding or sort out haematocele,42.6% was treated by sort out sputum.After the therapy of endobronchial tuberculosis,all the patient＇s become better,no serious complications happened.ConclusionElectronic bronchus can upgrade diagnosis and treatment level of bronchiectasis,especially for hemoptysis.
出处
《医学综述》
2010年第20期3193-3195,共3页
Medical Recapitulate
关键词
电子支气管镜
支气管扩张症
诊断
治疗
Electronic bronchoscopy
Bronchiectasis
Diagnosis
Treatment
