Sinha Vikas, Gurnani Deepanshu, Barot Dilavar A
Department of Otolaryngology and Head and Neck Surgery, M.P.Shah Govt. Medical College, Jamnagar, Gujarat India.
Indian J Otolaryngol Head Neck Surg. 2014 Jun;66(2):142-4. doi: 10.1007/s12070-013-0667-1. Epub 2013 Jun 27.
The aim of the study was to analyse the various indications of rigid bronchoscopy in paediatric patient, the common clinical symptoms, radiological findings, and outcomes of the procedure. A retrospective study was conducted at ENT Department at M. P. Shah Govt Medical College, Jamnagar, and Gujarat, India from 2010 to 2012. Total 50 cases of pediatric age group less than 12 years of age on whom rigid bronchoscopy was performed were included in this study. The diagnosis was based on clinical history, thorough clinical examination and radiological assessment. The total duration of the study was 3 years which included 50 Pediatric cases, males (76 %) were more common as compared to females (24 %), the most common age group which underwent the bronchoscopy was 1-3 years of age. Most common indication for doing rigid bronchoscopy was foreign body aspiration in 84 % of cases (n = 42) followed by other indications like Subglottic stenosis (6 %), Mucous Plugs (4 %) and Bronchoalveolar lavage (4 %). Rigid bronchoscopy has been a saviour and an essential part of standard medical practices for both Therapeutic and Diagnostic purposes. Proper history taking is an cardinal requirement before the procedure, and it is always better to rely on clinical findings rather than radiological findings. It is sensible to perform a Check Bronchoscopy in all cases to revisualise key areas and avoid missing any abnormality or foreign body.
本研究的目的是分析小儿患者硬质支气管镜检查的各种适应证、常见临床症状、影像学表现及该检查的结果。2010年至2012年在印度古吉拉特邦贾姆讷格尔市的MP沙阿政府医学院耳鼻喉科进行了一项回顾性研究。本研究纳入了50例年龄小于12岁且接受了硬质支气管镜检查的小儿患者。诊断基于临床病史、全面的临床检查和影像学评估。研究总时长为3年，包括50例儿科病例，男性（76%）比女性（24%）更常见，接受支气管镜检查最常见的年龄组为1至3岁。进行硬质支气管镜检查最常见的适应证是84%的病例（n = 42）存在异物吸入，其次是其他适应证，如声门下狭窄（6%）、黏液栓（4%）和支气管肺泡灌洗（4%）。硬质支气管镜检查无论是在治疗还是诊断方面，都是标准医疗实践中的救星和重要组成部分。在进行该检查之前，详细询问病史是一项基本要求，而且最好依靠临床检查结果而非影像学检查结果。对所有病例进行检查性支气管镜检查以再次查看关键区域并避免遗漏任何异常或异物是明智的做法。
