Author/Editor		Debeljak, Andrej; Osolnik, Katarina
Title		Toga bronhoskopija
Translated title		Rigid bronchoscopy
Type		članek
Source		Endoskopska revija
Vol. and No.		Letnik 3, št. 7
Publication year		1998
Volume		str. 115-9
Language		slo
Abstract		Background. The authors review the use and the role of rigid bronchoscopy in Slovenia. Material, methods. The number of rigid bronchoscopies performed in 1997, and the indications for the procedure were investigated by means of a questionnaire which was sent to all pulmonary and thoracic surgery departments in Slovenia and to the Department of Paediatrics, University Medical Centre Ljubljana. We studied more closely rigid bronchoscopies done at the Department of Pulmonary Diseases and Allergy, Golnik between 1993 and 1997. Results. In 1997, 4,002 flexible and 132 (3.3%) rigid bronchoscopies were perfomed in Slovene hospitals; 115 of the latter were done by thoracic surgeons and 17 by pulmonologists. in 124 patients, rigid bronchoscopy was indicated for therapeutic reasons (treatment of stenosis of the trachea or central bronchi, lasertherapy and extraction of foreign bodies), and in 8 patients for diagnosis (bronchoscopic needle aspiration). During the period 1993-1997, 8,348 flexible and 116 (1.4%) rigid bronchoscopies were performed at the Department of Pulmonary Diseases and Allergy Golnik. In 112 cases, rigid bronchoscopy was used for diagnosis in 3 for removing a foreign body, and in one case for resecting a tumour of the trachea. Bronchial needle aspiration was performed in 103 patients. Malignant infiltration of the mediastinal lymph nodes was found in 78 patients. Bronchoscopic needle aspiration confirmed malignant cells in 48 patients (62%), rigid bronchoscopy in 46 (59%) and flexible bronchoscopy in 35 patients (45%), the diagnostic success rate being statistically the same for both scopes. We removal two foreign bodies and resected one tracheal tumour. One chronic bronchial foreign body was refractory to extraction.
Summary		Izhodišča. Podajamo pregled toge bronhoskopije in njen pomen v Sloveniji. Metode. Z anketo smo ugotovili število ter indikacije za toge bronhoskopije na pljučnih in torakalnokirurških oddelkih bolnišnic v Sloveniji ter na pediatrični kliniki v Ljubljani, pobliže pa smo proučili toge bronhoskopije na Kliničnem oddelku za pljučne bolezni in alergijo Golnik od leta 1993 do leta 1997. Rezultati. V Sloveniji je bilo leta 1997 narejenih 4002 upogljivih bronhoskopskih preiskav in 132 (3,3%) togih bronhoskopskih preiskav. Torakalni kirurgi so uporabili togo bronhoskopijo 115-krat, pnevmologi pa 17-krat. Terapevtskih indikacij (zožitve centralnih dihalnih poti, lases, tujki) je bilo 124, diagnostičnih (bronhoskopska igelna aspiracija) pa 8. Na Kliničnem oddelku za pljučne bolezni in alergijo Golnik smo v zadnjih 5 letih napravili 8438 upogljivih bronhoskopij in 116 (1,4%) togih bronhoskopij. Diagnostičnih bronhoskopij je bilo 112, tri zaradi odstranjevanja tujka in ena zaradi odstranjevanja tumorja sapnika. Pri 103 bolnikih smo opravili bronhoskopsko igelno aspiriranje bezgavk. Pri 78 bolnikih smo ugotovili maligno infiltracijo bezgavk mediastinuma. Občutljivost bronhoskopske igelne aspiracije je bila 62% (48 bolnikov), s togo iglo 59% (46 bolnikov) in z upogljivo iglo 45% (35 bolnikov). Diagnostična uspešnost je bila z obema iglama podobna. Odstranili smo dva tujka in tumor traheje, enega kroničnega tujka pa nismo mogli odstraniti. Zaključki. Togo bronhoskopijo uporabljamo za zdravljenje, le izjemoma za diagnosticiranje pljučnih bolezni. Največkrat jo uporabljajo kirurgi.
Descriptors		LUNG DISEASES BRONCHOSCOPY QUESTIONNAIRES LUNG NEOPLASMS