Hu H C, Yin B Y, Hu J Z
Department of Respiratory Diseases, 2nd Hospital affiliated to Suzhou Medical College.
Zhonghua Jie He He Hu Xi Za Zhi. 1993 Aug;16(4):211-3, 252.
236 cases with middle lobe syndrome were examined with fibrobronchoscope. The total rate of positive finding was 92.8% (219/236). Inflammation (167 cases), lung cancer (47 cases), tuberculosis (17 cases) accounted for most of the cases. The diagnostic rate for the three above-mentioned diseases were 97.6%, 87.2% and 58.8% respectively. Fibrobronchoscopy was also of significant diagnostic value in determining other uncommon cases such as broncholithiasis, lipoid pneumonia, lung infiltration in leukemia, etc. The etiology, chest X-ray (including CT) presentations of this middle lobe syndrome and the diagnostic value of fibrobronchoscopy were discussed. Our experience suggests that this procedure is both safe and effective in the diagnosis of patients with middle lobe syndrome.
对236例中叶综合征患者进行了纤维支气管镜检查。阳性发现的总率为92.8%（219/236）。炎症（167例）、肺癌（47例）、肺结核（17例）占大多数病例。上述三种疾病的诊断率分别为97.6%、87.2%和58.8%。纤维支气管镜检查在诊断其他罕见病例如支气管结石症、类脂性肺炎、白血病肺部浸润等方面也具有重要的诊断价值。讨论了中叶综合征的病因、胸部X线（包括CT）表现及纤维支气管镜检查的诊断价值。我们的经验表明，该检查方法在中叶综合征患者的诊断中既安全又有效。
