纤维支气管镜肺活检诊断肺孤立性结节和肿块的评价  

Evaluation of diagnostic value of fiber-optic bronchoscopy in solitary pulmonary nodules and lung masses

作　　者：李坚[1] 张蓝石[1] 杭建明[1] 赵夕武[1] 杨剑影[1] 

机构地区：[1]江苏大学附属医院呼吸科,江苏镇江212001

出　　处：《中国内镜杂志》2008年第7期698-701,共4页China Journal of Endoscopy

摘　　要：目的评价电视透视引导下行纤维支气管镜(纤支镜)检查诊断肺孤立性结节和肿块(SPN/M)的价值。方法回顾性总结166例肺部孤立性病灶患者应用纤支镜经支气管肺活检(TBLB)、刷检(BB)和支气管肺泡灌洗(BAL)检查的结果,分析影响诊断阳性率的相关因素。结果有118例患者获诊断结果,诊断率71.1%,其中恶性病变诊断率74.8%(104/139),良性病变诊断率51.9%(14/27)。病灶大小和病灶部位与诊断阳性率相关。直径>2cm病灶诊断率明显高于直径≤2cm的病灶,位于近肺门区和中间区的病灶诊断率明显高于肺外周区病灶。TBLB、BB和BAL联合应用可提高诊断率。结论电视透视引导下纤支镜检查是诊断SPN/M的有效方法,特别对位于近肺门区和中间区的直径>2cm病灶有较高的诊断率。[Objective] To evaluate the diagnostic value of transbronchial lung biopsy (TBLB), brush biopsy (BB) and bronchoalveolar lavage (BAL) by fiberoptic bronchoscopy (FB) for solitary pulmonary nodules and masses (SPN/M). [Methods] The records of 166 patients with SPN/M undergoing FB were retrospectively reviewed and factors affecting the diagnostic yield of fiberoptic bronchoscopy (FB) for solitary pulmonary nodules and masses (SNP/M) were analyzed. [Results] Diagnosis was established by FB in 118 patients (71....

关 键 词：纤维支气管镜 肺活检 肺孤立性结节 肿块 诊断 

分 类 号：R768.1[医药卫生—耳鼻咽喉科]