纤维支气管镜肺活检对周围及弥漫性肺病的诊断价值

目的 :探讨纤维支气管镜检查和经纤维支气管镜肺活检 (TBLB)对周围及弥漫性肺疾病的诊断价值。方法 :对 46 0例周围及弥漫性肺疾病患者 ,在无X线电视透视下行TBLB ,对临床资料及病理诊断结果进行回顾分析。结果 :46 0例周围及弥漫性肺疾病中有 35 1例明确了病因学的诊断 ,确诊率达 76 3% ,疾病种类主要有肺癌、肺结核、肺间质纤维化、肺结节病等 ,对临近胸膜的病变TBLB阳性率较低 ,并发症少见 ,仅有少量出血及发热 ,或偶有气胸。结论 :纤维支气管镜肺活检对周围及弥漫性肺疾病的诊断是一种可靠、安全、简便、经济、可重复操作的方法。

Diagnostic value of transbronchial lung biopsy via fiberbronchoscope of peripheral or diffuse pulmonary disease

Objective To understand the diagnostic value of peripheral and diffuse pulmonary disease examined with Transbronchial lung biopsy (TBLB) via fiberoptic bronchoscope. Methods Four hundred and sixty patients of peripheral and diffuse pulmonary disease were diagnosed with TBLB via fiberoptic bronchoscope without fluoroscopic guidance. The result of clinical data and pathologic diagnosis were underwent retrospectively analyses. Results Confirmed diagnosis was obtained in 351 patients; the total positive diagnostic rate was 76.3%. Diseases were included lung cancer, pulmonary tuberculosis, diffuse interstitial pulmonary fibrosis, pulmonary sarcoidosis etc. The positive diagnostic rate of TBLB on pleural pulmonary disorders was the lowest. There were no any other serious complications except bleeding, blood sputum, fever and pneumothorax occasionally. Conclusions TBLB in diagnoses of peripheral and diffuse pulmonary disease is a reliable, safe, handy cheap, may repeatable operational method.