经支气管镜肺活检45例分析  

The analysis of 45 cases of transbronchoscopic lung biopsy

作　　者：梁岩静[1] 郝振婷[1] 柳小芳[1] 

机构地区：[1]北京大学第三医院,北京100191

出　　处：《基层医学论坛》2010年第4期116-117,共2页The Medical Forum

摘　　要：目的探讨经支气管镜肺活检(TBLB)的操作体会和对弥散性肺部疾病的诊断价值。方法45例弥散性肺疾病患者行TBLB,对临床资料及病理诊断结果进行回顾分析。结果45例弥散性肺疾病中有42例成功取得肺组织标本,24例明确诊断,确诊率达57.1%.患者耐受性良好,术后发生气胸2例(4.8%。)结论支气管镜肺活检对弥散性肺疾病的诊断是一种可靠、安全、简便、经济的方法,熟练的操作技术和默契的医护配合是提高成功率的关键。Objective To evaluate the diagnostic value and experience of transbronchial lung biopsy （TBLB） in the diagnosis of diffuse parenchymal lung disease. Methods 45 patients of diffuse parenchymal lung disease underwent TBLB. The result of the clinical data and pathologic diagnosis were retrospectively analyzed. Results Of the 45 patients, 42 got the success lung sample. 24 patients （57.1%）were diagnosed with TBLB.All the patients could tolerant TBLB quite well. 2 pneumothorax were happen （4.8%）.Conclusion The use of TBLB in the diagnoses of diffuse parenchymal lung disease is a reliable, safe, handy and cheap way. Rich experience and good cooperation of the doctor and the nurse were the key points to get good results.

关 键 词：经支气管镜肺活检 弥散性肺实质疾病 病理诊断 分析 

分 类 号：R563[医药卫生—呼吸系统]