纤维支气管镜及肺功能检查在气管肿瘤中的应用.pdfVIP

中国医药2008年1月第3卷第1期 Chinamedicine．January 2008．VoL 3．No．1 ． 论著 ． 纤维支气管镜及肺功能检查在气管肿瘤中的应用 陶艳红 周仲志 【摘要】 目的 探讨无痛性纤维支气管镜及肺功能检查在原发性气管肿瘤中的应用。方法 对气管 原发性肿瘤30例患者行无痛性纤维支气管镜及肺功能检查并进行回顾性分析。结果 30例均行纤维支气 管镜检查和肺功能检查。纤维支气管镜检查示瘸体位于气管上段5例，中段l6例，下段9例；气管1／3阻塞 者l7例，气管2／3阻塞者11例，气管几乎完全阻塞者2例；按流速-容量曲线图形对气管肿瘤分型并分为3 组：胸外可变型l2例为A组，胸内可变型l0例为B组，固定性狭窄型8例为c组。B组、c组呼气峰流速 (PEF)、1秒量(FEV 1)、1秒率(FEV 1／FVC)、用力呼气早期流速(FEF 25)、平均呼气中期流速(FEF 25～ 75)较A组显著下降(P0．05)；A组、c组吸气峰流速(PIF)显著低于B组(P0．05)。结论 纤维支气管 镜结合肺功能检查评价气管肿瘤患者通气功能有一定临床价值。 【关键词】 气管肿瘤；肺功能检查； 纤维支气管镜 【中图分类号】 R734．1 【文献标识码】 A 【文章编号】 1673-4777(2008)01-0028-02 Fiberoptie bronch~copy and pulmonary function tests for evaluation of ventilation function in patient with primary tracheal tumors． Tao Yanho~,，Zhou Zhongzhi．Department ofRespiratory，Huizhou Central Peoples Hospital(Huizhou 516001，China) 【Abstract】 Objective To observe the value of pain free fiberoptie bronehoseopy and lung function tests for evaluation of ventilation function in primary tracheal tumor。Methods rI1linY cases of primary tracheal tumor who received pain free fiberoptic bronchoscopy and lung function tests were enrolled in tllis study。Results Fibemptie bmnehoseopy showed upper tracheal tumor in 5 cases，middle tracheal tumor in 16 cases，lower tracheal tumor in 9 eases．1／3 tracheal obstruction oCCUlted in l7 cases，2／3 obstruction in l l cases，nearly 100％ obstruction in 2 eases．Based on velocity—capacity curve，patients were divided into 3 groups．PEF，FEVl，FEVl／FVC，FEF 25， FEF 25～75 of group B and group C were significantly lower than group A．P of roup A and group C Were significantly lower than group B．Conclusion Combined Fiberoptie bronehoseopy and pulmonary function tests show gnod value for evaluation of ventilation function in patients with tracheal tunlors． 【Key words】 Tracheal tumors；Pulmonary functio