以纤维支气管镜肺活检对肺部疾病的诊断价值

本文报告231例肺外周局限性结节和片状浸润病变和弥漫性病变在X线指导下TBLB的检查结果，总的诊断率78．8％，肺外周病变诊断丰79．1％，肺弥漫性病变诊断率78．2％。影响TBLB诊断率的因素与病变大小、部位、性质和活检技术有关．在提高诊断方面，活检钳、毛刷、活检针检查有相互补充作用．TBLB并发症少，本组有15例（6．4％）出现少量出血。

Transbronchial Lung Biopsy Via the Bronchofiberscope in the Diagnosis of Pulmonary Disease

The results if transbronchial lung biopsy (TBLB) via fexible fiberoptic bronchoscope Under fluoroscopic guldance of 231 eases of pulmneq localized nodular, infiltrative or diffuse disease are repoted. The total diagnostic rate of TBLB was 78.8%. The dingnostic rate for pulmoary localized nodular disease was 79.1%. The diagnostic rate for pulmonary diffuse disease was 78.2%. The factors influendng positive diagnosis of TBLB are the sire, location and nature of lesions, and technical skillfulness of TBLB. Forceps, brushing and needles could be complementary in improving diagnostic rate. The complications of TBLB are rare. We met a little bleeding in 15 cases (6.4%)