超选择性支气管镜肺刷检对肺第5~9级支气管间占位性病变的诊断价值

[目的]探讨在高分辨率CT片定位下,气管镜下刷检对位于肺第5～9级支气管间的肺占位性病变的诊断价值.[方法]对85例肺部肿块位于肺第5～9级支气管间的患者,术前在高分辨率CT片定位下行支气管镜下刷检细胞学检查,以细胞病理学结果为诊断依据.[结果]经支气管镜肺刷检总阳性率为44.71％,其中非小细胞癌20例,小细胞癌18例.所有患者术后均未发生气胸、肺内大出血等严重并发症.[结论]高分辨率CT片定位下对位于第5～9级支气管的病灶进行超选择性的刷检具有一定的诊断价值.

Value of Superselective Transbronchial Lung Brush Biopsy in the Diagnosis for Space-occupying Lesions in the Class 5~9 Bronchus

[Purpose] To investigate the diagnostic value of transbronchial lung brush biopsy via bron-choscope with preoperative high resolution CT guided for class 5~9 bronchial space-occupying lesions.[Methods] A total of 85 patients with class 5~9 bronchial space-occupying lesions received the supers-elective transbronchial lung brush biopsy.The results of the cytology examination were used as diag-nostic evidence.[Results] The positive diagnosis rate of the superselective transbronchial lung brush biopsy was 44.71%,including 20 cases with non-small cell cancer and 18 cases with small cell cancer.No severe complications,such as lung copiously internal bleeding and pneumothorax was occurred after brush biopsy.[Conclusion] With high resolution CT guided superselective transbronchial lung brush biopsy to space-occupying lesions in class 5~9 bronchus possesses certain diagnostic value.