无X线透视下经支气管镜肺活检术在肺部周围性病变中的诊断价值  

The diagnostic value of transbronchoscopic lung biopsy without X-ray fluoroscopy in patients with peripheral pulmonary lesions

作　　者：林海[1] 阮利云[1] 许建华[1] 赵仁国[1] 上官宗校[1] 

机构地区：[1]温州医学院附属第三医院浙江省瑞安市人民医院呼吸内科,325200

出　　处：《中国医师进修杂志》2012年第22期24-27,共4页Chinese Journal of Postgraduates of Medicine

基　　金：浙江省瑞安市科技局计划（201102078）

摘　　要：目的探讨无X线透视下经支气管镜肺活检术在肺部周围性病变中的诊断价值。方法收集2011年1—12月就诊的50例常规支气管镜检查未发现腔内病变的肺部周围性及弥漫性病变患者，在无X线透视下按胸部CT影像学解剖定位及支气管树走向，经电子支气管镜对肺部周围性病变进行肺活检。结果50例患者中经支气管镜肺活检63例次，最后确诊病例30例（60．0％），其中35例肺部周围性肿块或阴影有24例得到确诊（68．6％），15例肺部弥漫性病变有6例得到确诊（40．0％）。所有患者在电子支气管镜检查过程中及术后均无严重并发症发生。结论无x线透视下经支气管镜肺活检术操作方便，安全性高，可重复性强，并发症少，在肺部疾病的病因诊断中具有较高的临床诊断价值。Objective To investigate the diagnostic value of transbronchoscopic lung biopsy （TBLB） without X-ray fluoroscopy in patients with peripheral pulmonary lesions. Methods Fifty patients with peripheral and diffuse pulmonary lesions and without cavity lesions from January to December 2011 were selected and examined by conventional bronchoscopy. According to the anatomical orientation of CT image and bronchial tree path,TBLB was performed by electronic bronchoscope. Resets There were 63 cases of TBLB in 50 patients and 30 patients got confirmed diagnosis （60.0%）,including 24 cases in 35 patients with peripheral pulmonary lesions （68.6%）,and 6 cases in 15 patients with diffuse pulmonary lesions （40.0%）. There was no severe complication during and after electronic bronchoscopy. Corlehmions TBLB without X-ray fluoroscopy is a convenient, safe and repeatable operational method with fewer complications. It has higher clinic diagnostic value in pulmonary diseases.

关 键 词：支气管镜 活组织检查 肺疾病 诊断 无X线透视 

分 类 号：R734.2[医药卫生—肿瘤]