124例弥漫性肺疾病的纤维支气管镜肺活检分析

One hundred and twenty four cases of diffuse pulmonary disease diagnosed by transbronchial lung biopsy via fiberbronchoscope

目的:探讨纤维支气管镜肺活检对弥漫性肺疾病的诊断价值。方法:对124 例弥漫性肺疾病行纤维支气管镜肺活检。结果:124 例弥漫性肺疾病有91 例确诊,确诊率73-39 % ;疾病种类包括肺癌、肺结核、特发性肺间质纤维化、结节病、结缔组织病肺损害及其它少见病。手术并发症仅部分病人有短暂痰血,偶有气胸。结论:经纤维支气管镜肺活检方法简便、安全、易行。

Objective: To understand the diagnostic value in diffuse pulmonary disease examined with transbronchial lung biopsy(TBLB) via fiber bronchoscope. Method: One hundred and twenty four cases of diffuse pulmonary disease were diagnosed with TBLB via fiberbronchoscope. Result: Confirmed diagnosis was obtained in 91 patients; the total diagnostic rate was 73.39%. The kinds of the diseases included lung cancer, lung tuberculosis, diffuse interstitial pulmonary fibrosis, pulmonary sarcoidosis, and pulmonary lesion in collageous diseases. There were no other serious complications except for bloody or blood streaking sputum, and pneumothorax occurred occasionally. Conclusion: It is suggested that TBLB is an easy, safe and useful method for diagnosing diffuse pulmonary diseases.