[Fibrobronchoscopy in the diagnosis of middle lobe syndrome].
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.
Hu
H C
HC
Department of Respiratory Diseases, 2nd Hospital affiliated to Suzhou Medical College.
Yin
B Y
BY
Hu
J Z
JZ
D000230:Adenocarcinoma / Q000175:diagnosis; D000293:Adolescent; D000328:Adult; D000368:Aged; D001999:Bronchoscopy; D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000175:diagnosis; D005260:Female; D006801:Humans; D007249:Inflammation / Q000175:diagnosis; D008175:Lung Neoplasms / Q000150:complications / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D008878:Middle Lobe Syndrome / Q000175:diagnosis* / Q000209:etiology; D014397:Tuberculosis, Pulmonary / Q000150:complications / Q000175:diagnosis