Okugbo S U, Ugiagbe Ezekiel E
Department of Surgery, Cardiothoracic Division, University of Benin Teaching Hospital, Benin City, Edo State, Nigeria.
Niger Med J. 2013 May;54(3):157-9. doi: 10.4103/0300-1652.114567.
Our study was done to evaluate our bronchoscopic techniques, sizes and diagnostic yield.
This was a retrospective study comprising all cases of bronchial biopsies done in the University of Benin Teaching Hospital from 2007 to 2011. All patients who had flexible bronchoscopy under general anaesthesia during the period under review where enrolled in the study.
There were a total of 16 patients: Nine males and seven females, with a mean age of 46.9 years. The main indications were cough (87.5%), weight loss (62.5%), X-ray findings of a chest lesion (87.5%), chest pain (62.5%), difficulty with breathing (31.3%) and massive haemoptysis (25%). Histology results showed inadequate samples in six and Bronchogenic carcinoma in four patients. The histology was pivotal in eight patients.
Bronchoscopic biopsies are fraught with problems and other clinical investigative tools would certainly be important in improving the results.
本研究旨在评估我们的支气管镜检查技术、活检组织大小及诊断率。
这是一项回顾性研究,纳入了2007年至2011年在贝宁大学教学医院进行的所有支气管活检病例。所有在研究期间接受全身麻醉下柔性支气管镜检查的患者均纳入本研究。
共有16例患者,其中男性9例,女性7例,平均年龄46.9岁。主要症状为咳嗽(87.5%)、体重减轻(62.5%)、胸部病变的X线表现(87.5%)、胸痛(62.5%)、呼吸困难(31.3%)和大量咯血(25%)。组织学结果显示6例样本不足,4例为支气管源性癌。组织学对8例患者的诊断起关键作用。
支气管镜活检存在诸多问题,其他临床检查手段对于改善诊断结果肯定很重要。