Özaslan Mehmet Mustafa, Kartal Öztürk Gökçen, Barlik Meral, Ocak Ece, Çoksuer Fevziye, Girgin Dindar Bahar, Öğütçü Atacan, Halis Ece, Demir Esen, Gülen Figen
Department of Pediatric Pulmonary Diseases, Ege University Faculty of Medicine, İzmir, Türkiye.
Tuberk Toraks. 2024 Mar;72(1):82-90. doi: 10.5578/tt.202401827.
Flexible bronchoscopy is a valuable method in the diagnosis and treatment of respiratory tract diseases in children. This study aimed to examine the indications for and results of flexible bronchoscopy in children.
The study included patients aged 0-18 years who underwent flexible bronchoscopy between 1 January 2017 and 31 December 2022. The patients were evaluated for demographic characteristics, indications for bronchoscopy, comorbidities, bronchoscopy findings, and the results of bronchoalveolar lavage.
During the defined study period, a total of 410 flexible bronchoscopy procedures were performed. 51.9% of the patient population were male, and 48.1% were female, with a mean age of 96.93 ± 63.45 months. The most common indication for flexible bronchoscopy was recurrent lower respiratory tract infection (26.8%), followed by chronic cough (19.1%). The bronchoalveolar lavage culture results showed that the most commonly isolated microorganisms were H. influenzae non-type b (7.8%) followed by M. catarrhalis (7.3%). Mucus obstruction and secretion (33.0%) constituted the most common bronchoscopic findings, while the flexible bronchoscopy examination was normal in 27% of patients. No serious complications occurred in any patient during or after the procedure.
The results of this study demonstrated that the most common indication for flexible bronchoscopy was recurrent lower respiratory tract infection and the most common bronchoscopy finding was purulent secretion with mucus obstruction. Flexible bronchoscopy is an important diagnostic and treatment tool for patients with recurrent respiratory symptoms. It is a highly valuable method as it enables direct visualization of the airways and facilitates the collection of bronchoalveolar lavage samples.
可弯曲支气管镜检查是诊断和治疗儿童呼吸道疾病的一种重要方法。本研究旨在探讨儿童可弯曲支气管镜检查的适应证及结果。
本研究纳入了2017年1月1日至2022年12月31日期间接受可弯曲支气管镜检查的0至18岁患者。对患者的人口统计学特征、支气管镜检查适应证、合并症、支气管镜检查结果及支气管肺泡灌洗结果进行评估。
在规定的研究期间，共进行了410例可弯曲支气管镜检查。患者中51.9%为男性，48.1%为女性，平均年龄为96.93±63.45个月。可弯曲支气管镜检查最常见的适应证是反复下呼吸道感染（26.8%），其次是慢性咳嗽（19.1%）。支气管肺泡灌洗培养结果显示，最常分离出的微生物是无b型流感嗜血杆菌（7.8%），其次是卡他莫拉菌（7.3%）。黏液阻塞和分泌物（33.0%）是最常见的支气管镜检查结果，27%的患者可弯曲支气管镜检查结果正常。在检查期间及检查后，所有患者均未发生严重并发症。
本研究结果表明，可弯曲支气管镜检查最常见的适应证是反复下呼吸道感染，最常见的支气管镜检查结果是脓性分泌物伴黏液阻塞。可弯曲支气管镜检查是反复呼吸道症状患者重要的诊断和治疗工具。它是一种非常有价值的方法，因为它能够直接观察气道并便于采集支气管肺泡灌洗样本。
