Forrest J V, Sagel S S, Omell G H
AJR Am J Roentgenol. 1976 Mar;126(3):597-600. doi: 10.2214/ajr.126.3.597.
Retrospective analysis of 196 cases suggests that bronchography has limited value in the evaluation of hemoptysis. Most patients with a single episode of hemoptysis and normal plain chest roentgenographic and bronchoscopic findings do not require bronchographic examination. Advances in cytologic and biopsy procedures (fiberoptic bronchoscopy, bronchial brushing, needle aspiration) have largely replaced the usefulness of bronchography even when the plain chest roentgenogram is abnormal.
对196例病例的回顾性分析表明,支气管造影在咯血评估中的价值有限。大多数单次咯血且胸部X线平片和支气管镜检查结果正常的患者不需要进行支气管造影检查。即使胸部X线平片异常,细胞学和活检程序(纤维支气管镜检查、支气管刷检、针吸活检)的进展在很大程度上已取代了支气管造影的作用。