摘要
[目的 ]探讨经支气管肺活检在尘肺诊断中价值。 [方法 ]对 12 8例接尘者作经支气管肺活检及病理上对纤维化、粉尘沉着作检测。 [结果 ]尘肺待诊病例与病理确诊相关达 83 9% ,有助于鉴别诊断 ,并且病理特殊染色在尘肺病因学诊断中起重要作用。 [结论 ]经支气管肺活检作为辅助手段 ,对尘肺诊断。
Objective] Significance of the application of transbronchial lung biopsy in the diagnosis of pneumoconiosis was explored. [Methods] The transbronchial biopsy was performed and pathological examination for detecting lung fibrosis and dust deposit was conducted in 128 dust exposed workers. [Results] The rate of diagnosis for suspicious pneumoconiosis cases in accord with pathological evidence of fibrosis lesions and dust deposit was 83.9%. Pathological examination of biopsy tissue can help the differential diagnosis. The special staining examination plays an important role in pathogenic diagnosis. [Conclusion] As a supplemental method transbronchial lung biopsy has an obvious significance in the diagnosis and differential diagnosis of pneumoconiosis.
关键词
经支气管肺活检(TBLB)
尘肺
肺纤维化
粉尘沉着
诊断
鉴别诊断
transbronchial lung biopsy(TBLB)
pneumoconiosis
lung fibrosis
dust deposit
diagnosis
differential diagnosis
