Overlack A, Zielke C, Kolloch R, Dewes W, Christ F, Magnussen H
Dtsch Med Wochenschr. 1987 Jul 10;112(28-29):1126-9. doi: 10.1055/s-2008-1068206.
The radiological imaging of the respiratory tract by bronchography has apparently lost in importance since the introduction of newer imaging methods. Indications for and results of bronchography, performed after bronchoscopy with a flexible bronchoscope under local anesthesia, were analysed in 115 patients. In 68 the bronchography had been performed because of suspected bronchiectasis, in the others because of hemoptysis, cough or infiltration of unclear etiology. In 43% of patients who had undergone bronchography bronchiectasis was indeed found, in 47% there were isolated or additional changes in the bronchial system. In 70% the examination had furthered the diagnosis. The described method of bronchography was not significantly more uncomfortable than flexible bronchoscopy alone. Combined bronchoscopy and bronchography is thus a valuable procedure in the diagnosis of pneumonological abnormalities.
自从引入更新的成像方法以来,支气管造影对呼吸道的放射学成像显然已不再那么重要。对115例患者在局部麻醉下使用可弯曲支气管镜进行支气管镜检查后进行支气管造影的适应症和结果进行了分析。68例患者进行支气管造影是因为怀疑有支气管扩张,其他患者则是因为咯血、咳嗽或病因不明的浸润。在接受支气管造影的患者中,43%确实发现了支气管扩张,47%的患者支气管系统有孤立或额外的变化。70%的检查有助于诊断。所描述的支气管造影方法并不比单独的可弯曲支气管镜检查明显更不舒服。因此,支气管镜检查和支气管造影相结合在肺部异常的诊断中是一种有价值的方法。