Diagnostic value of tracheoscopy feature patients with hemoptysis

Shao Jie; Yang Yudong; Zhu Hongqiang; Yue Xiu; Fan Jianyong; Jiao Jieying; Liu Chengjie

doi:10.3760/cma.j.issn.1673-4777.2015.11.008

Abstract：Objective To evaluate the value of tracheoscopy feature patients with hemoptysis.Methods Tracheoscopy data of 877 patients with hemoptysis from January 2009 to December 2014, including lesion features and position, were retrospectively analyzed.The manifestation of imaging and diagnosis method were also analyzed.Results The manifestations of tracheoscopy in patients with hemoptysis were shown as nodular lesions in 240 cases (27.4％), no abnormalities in 121 cases (13.8％) , congestion and edema in 102 cases (11.6％), tough irregular surface in 91 cases (10.4％), stenosis in 81 cases (9.2％);the lesions located in the right upper bronchus in 123 cases (14.0％), in the left upper bronchus in 116 cases (13.2％), in the left lower bronchus in 65 cases (7.4％), in the left main bronchus in 63 cases (7.2％), in the right lower bronchus in 61 cases (7.0％).A total of 46.4％ (407/877) patients had obvious cough;55.0％ (482/877) patients showed mass on the lung in imaging.Totally 21.8％ (191/877) patients were diagnosed as squamous carcinoma.There were 674 cases with definite diagnosis which was confirmed by biopsy[72.8％ (491/674)].Conclusion Tracheoscopy is of great values in diagnosing causes in patients with hemoptysis;biopsy is the mainly method for definite diagnosis.