支气管内肿块病变的谱及可弯曲支气管镜检查在其诊断中的作用：74例病例系列
Spectrum of intrabronchial mass lesions and role of flexible bronchoscopy in their diagnosis: a series of 74 cases.
作者信息
Gupta S, Bhalotra B, Jain N
机构信息
Department of Chest Medicine, Sir Ganga Ram Hospital, New Delhi, India.
出版信息
Indian J Chest Dis Allied Sci. 2010 Apr-Jun;52(2):79-82.
BACKGROUND
Variety of benign and malignant lesions of respiratory system presents as intrabronchial mass lesions. Present study was carried out to study the spectrum of intrabronchial lesions and role of flexible flexible bronchoscopy in their diagnosis.
METHODS
Retrospective study of case-records of patients with intrabronchial mass lesions diagnosed by flexible bronchoscopy, bronchial washings and bronchial biopsy between January 2004 and June 2006.
RESULTS
Out of the 696 flexible bronchoscopies done during the study period, intrabronchial mass lesions were evident in 74 patients (10.6%) (age range 21-86 years; 60 males). Fifty (68%) lesions were malignant, eighteen (24%) lesions were benign while six (8%) lesions were inconclusive. Diagnostic yield was about 92%; repeat bronchoscopy for inconclusive results improved the diagnostic yield.
CONCLUSIONS
Though malignant lesions are common, benign lesions remain important causes of intrabronchial mass lesions. Bronchoscopy with adequate sampling is an essential diagnostic modality for confirming the diagnosis of such lesions.
背景
呼吸系统的各种良性和恶性病变表现为支气管内肿块病变。本研究旨在探讨支气管内病变的范围以及柔性支气管镜在其诊断中的作用。
方法
对2004年1月至2006年6月间通过柔性支气管镜、支气管灌洗和支气管活检诊断为支气管内肿块病变的患者病例记录进行回顾性研究。
结果
在研究期间进行的696例柔性支气管镜检查中，74例患者（10.6%）（年龄范围21 - 86岁；男性60例）存在支气管内肿块病变。50例（68%）病变为恶性，18例（24%）病变为良性，6例（8%）病变诊断不明确。诊断率约为92%；对诊断不明确的结果进行重复支气管镜检查提高了诊断率。
结论
尽管恶性病变常见，但良性病变仍是支气管内肿块病变的重要原因。进行充分采样的支气管镜检查是确诊此类病变的重要诊断方法。
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