J Korean Radiol Soc.
1987 Aug;23(4):558-567. 10.3348/jkrs.1987.23.4.558.
Radiologic evaluation of bronchiectasis
- KMID: 2359422
- DOI: http://doi.org/10.3348/jkrs.1987.23.4.558
Abstract
- Bronchiectassi is not an infrequent disease in Korea and is defined as irreversible abormal dilatation of one or more bronchi. Bronchography is the definitive method of establishing the diagnosis, extent, and severity of bronchiectasis and its performance is essential to the surgeon before the operative procedure is begun. Retrospectively we reviewed 131 patients of bronchiectasis diagnosed by bronchography during the recent 5 years from January. 1982 to December, 1986 and obtained the following results: 1. Male to female ratio was 64:67, and peak incidence was between 21 and 40 year of age(68.7%: 90/131) with 31.9 of mean age. 2. Chronic coughing, productive sputum, and blood-tinged sputum or hemoptysis were the three predominant symptoms, and duration of the symptoms was less than 5 years in 67.9%. 3. Among the presumptive etiologic factors, pulmonary tuberculosis was the most common one (33.6%:44/131). Interestingly, bronchial obstruction due to tracheal cancer, bronchialadenoma, and right upper mediastinal neurofibroma were also present in one case each. 4. In 91.6% of patients, plain chest film was abnormal, and one of the more unusual abnormal findings(which was beyoun of our expectations)was typical right middle lobe collapse(7.6% :10/31). 5. Left lower lobe(67.2%), lingular segment(52.0%), and right lower lobe(35.1%) were the three most frequent sites of involvement. 6. Among the basal segments, the superior segment was involved in half of the incidence because its anatomical relationship to the others made natural drainage easy. 7. Cylindrical type was the most common bronchographic finding(43.5% :57/131).
