经支气管镜肺活检在内镜阴性周围型肺疾病诊断中的应用  

Application of tranbronchial lung biopsy in peripheral lung disease with normal endoscopic features

作　　者：徐爱军[1] 吴华星[1] 孟蕊[1] 周长林[1] 潘林娜[1] 

机构地区：[1]哈尔滨医科大学附属肿瘤医院腔镜室,黑龙江哈尔滨150040

出　　处：《中国内镜杂志》2010年第3期252-254,共3页China Journal of Endoscopy

摘　　要：目的探讨经支气管镜肺活检在内镜阴性周围型肺疾病患者诊断中的临床价值。方法前瞻性地对2008年5月～2009年4月45例经CT影像学诊断为周围型肺疾病且支气管镜下表现正常的患者通过支气管镜下表现结合CT定位后对病变部位进行经支气管镜肺活检。并对所有患者进行跟踪术后病理结果。结果 45例肺活检患者,其中确定诊断(包括跟踪术后病理)40例,失访5例,总确诊率为77.78%。其中肺癌36例,占肺活检总数80%,肺良性病变9例,占肺活检总数20%。经支气管镜肺活检对肺癌诊断阳性率为72.22%(26/36)。结论经支气管镜肺活检是在常规支气管镜检查基础上发展起来的,是常规支气管镜检查的延伸,诊断范围更大,诊断阳性率较高,并发症少。【Objective】To investigate the clinical significance of tranbronchial lung biopsy（TBLB） in the diagnosis of peripheral lung disease and patients with normal endoscopic features.【Methods】TBLB was performed prospectively on 45 cases of peripheral lung disease during May 2008 to April 2009 according to display under bronchoscope combined with computerized tomography（CT） indication.Track all patients which were diagnosed by CT and were negative in conventional bronchoscope examination and postoperative pathology results.【Results】Out of the 45 patients,40 cases were diagnosed definitely and 5 cases were lost contact.The rate of final diagnosis was 77.78%.36 cases（80%） were confirmed of peripheral lung cancer.26 cases were positive of the 36 by TBLB and the positive rate was 72.22%.【Conclusion】TBLB is an extension of conventional bronchoscopy.It has broader diagnostic range,higher positive rate of diagnosis and fewer complications.

关 键 词：周围型肺疾病 肺活检 肺癌 

分 类 号：R734.2[医药卫生—肿瘤]