CT定位后经支气管肺活检对管腔外病变的诊断价值  

Diagnostic value of transbronchial lung biopsy of extraluminal lesions of CT positioning

作　　者：张瑞侠[1] 曾石生[1] 方贤勤 李晓红[1] 

机构地区：[1]淮南朝阳医院呼吸科,232007

出　　处：《安徽医学》2013年第8期1138-1140,共3页Anhui Medical Journal

摘　　要：目的探讨CT肺段定位后经支气管镜肺活检(TBLB)对管腔外肺病变诊断价值。方法对80例常规内镜检查阴性的局灶性肺病变患者参照CT肺段定位行TBLB,并随访病理及临床结果。结果 80例患者最终确诊肺癌54例(67.5%,54/80),TBLB诊断34例(42.5%),占肺癌62.9%(34/54),非特异性炎14例(17.5%)、坏死性炎5例(6.3%),结核5例(6.3%),TBLB总确诊率72.5%(58/80)。结论结合CT肺段定位,TBLB能显著提高内镜阴性周围性肺病诊断阳性率。Objective To probe into the value of transbronehial lung biopsy（TBLB） in the diagnosis of pulmonary lesions of lumen of CT segment after positioning. Methods TBLB was performed for focal pulmonary lesions in 80 patients with endoscopy negative reference CT segmental localization, and the clinical and pathological results were followed - up. Results Among 80 cases, 54 cases were diagnosed with lung cancer （ 67.5 % , 54/80）, 34 cases were confirmed with transbronchial lung biopsy （ TBLB ） in the diagnosis （42.5 % ）, which accounted for 62.9% in lung cancer cases （34/54）, there were14 cases of nonspecific inflammation （17.5 % ）, 5 cases of necrotizing inflammation （6.3 % ） , and 5 cases of tuberculosis （6.3%）. TBLB diagnosis rate was 72.5% （58/80）. Conclusion Combined with the CT segmental location, TBLB can significantly improve the diagnostic positive rate of endoscopic negative peripheral pulmonarv disease.

关 键 词：周围型肺病 支气管镜 肺活检 CT肺段定位 

分 类 号：R734[医药卫生—肿瘤]