Curull V, Supervia A, Campodarve I, Sanjuas C
Servicio de Neumología, Hospital del Mar, IMIM, Universitat Autónoma de Barcelona.
An Med Interna. 1994 Oct;11(10):483-6.
Bronchofibroscopy is a widely used exploration for the diagnosis of several pulmonary processes. However, its use in aged patients, these being considered a high risk group, is still a controversial issue. The aim of this study was to analyze the indications, diagnostic performance and complications of the bronchofibroscopy in the elderly and to determine if there are any differences with respect to the adult population. A retrospective case control study was conducted, taking as cases those patients with 70 or more years of age, and as controls, those patients with less than 70 years. The study period was 1 year, with 54 bronchofibroscopies performed in 49 patients from the study group and 149 in 145 patients from the control group. The indications were similar in both groups, except for the study of opportunistic infections, these being more frequent among the control group. Diagnostic performance and complications did not show any differences between both groups. Indications, performance and complications of bronchofibroscopy in aged patients are similar to those in the adult population. Hence, the age in itself should not be a limiting factor for the indication of this exploration.
支气管纤维镜检查是一种广泛用于诊断多种肺部疾病的检查方法。然而，在老年患者（这被视为高风险人群）中使用支气管纤维镜检查仍是一个有争议的问题。本研究的目的是分析老年患者支气管纤维镜检查的适应证、诊断效能及并发症，并确定与成年人群相比是否存在差异。进行了一项回顾性病例对照研究，将70岁及以上的患者作为病例组，将年龄小于70岁的患者作为对照组。研究为期1年，研究组49例患者进行了54次支气管纤维镜检查，对照组145例患者进行了149次支气管纤维镜检查。两组的适应证相似，但机会性感染的检查在对照组中更为常见。两组之间的诊断效能和并发症无差异。老年患者支气管纤维镜检查的适应证、效能和并发症与成年人群相似。因此，年龄本身不应成为该项检查适应证的限制因素。
