经纤支镜肺活检在肺部弥漫性病变中的诊断价值

目的探讨经纤支镜肺活检(TBLB)在肺部弥漫性病变中的诊断价值。方法选取2006年1月～2008年1月间在我院诊治的肺部弥漫性病变患者96例,总结分析TBLB术的成功诊断率、并发症等情况。结果96例均取得肺组织标本,88例获得病理组织学的明确诊断,阳性诊断率为91.67%。8例病理结果为正常肺组织、肺组织慢性炎性改变或小气道粘膜慢性炎变。本组20例患者活检后纤维支气管镜下见少量渗血,8例予纤维支气管镜下注入1:10000肾上腺素出血停止;1例术后出现胸闷,经胸部X线检查发现气胸并给予胸穿排气后治愈。结论TBLB术在诊断肺弥漫性病变中确诊率高、并发症少、操作简便,是一种很有价值、可广泛推广的诊断手段。

Objective To approach the diagnostic values of TBLB on patients with diffuse pathological changes of bellows. Methods 96 cases with diffuse pathological changes of bellows in our hospital from January in 2006 to January in 2008 were selected and analyzed the correct diagnostic rate and complications of TBLB. Results The 96 cases gained the lung tissue specimen and 88 cases gained the identified diagnosis, and masculine rate of diagnosis was 91.67%. The 8 cases were normal lung tissue specimen, lung tissue or mucous membrane of small airway chronic inflammation. A little capillary hemorrhage was found in the 20 cases after bronchofibroscope lung biopsy, and 8 cases received the 1 millilitre of 0.001% adrenaline to hemostasis. 1 case were with chest distress after operation, and confirmed to be pneumothorax by X-ray and received aerofluxus treatment. Conclusion The TBLB in diagnosis on diffuse pathological changes is with high final diagnosis, few complications, and convenient operation, so it is valuable and worth to be utilized widely.