Se revisa la rentabilidad diagnóstica de la broncoscopia y broncografía en una serie de 196 enfermos de Hidatidosis Pulmonar. Se clasificaron los enfermos en dos grupos: Hidatidosis Pulmonar íntegra, 125 casos, e Hidatidosis Pulmonar complicada, 71 casos. Las exploraciones broncológicas no fueron diagnósticas cuando el quiste hidatídico estaba íntegro. La broncoscopia fue diagnóstica de Hidatidosis Pulmonar complicada en 14 de 44 enfermos, 32%. El broncoscopio flexible permitió la visualización
The authors review the diagnostic performance of bronchoscopy and bronchography in a series of 196 patients with pulmonary hydatidosis. The patients were classified in two groups: integral pulmonary hydatidosis, 125 cases and complicated pulmonary hydatidosis, 71 cases. The bronchologic explorations were not diagnostic when the hydatid cyst was integral. The bronchoscopy was diagnostic for complicated pulmonary hydatidosis for 14 of 44 patients, 32%. Flexible bronchoscopy permitted visualization of hydatid membranes in 6 of 11 patients explored, 55% as compared to 8 of 33 patients explored with rigid bronchoscopy, 24%. The bronchography carried out in 25 patients with complicated hydatid cyst was the only means for diagnosis of the existence of pulmonary cavity in 4 patients, 16%. Finally, the authors describe the technique of extraction with bronchofibroscopy of the hydatid membranes.
