经纤支镜活检并刷检结合经皮肺穿针吸活检在肺周围型病变诊断中的价值

Value of Fibrobronchoscopy and Brush Biopsy plus Percutaneous Needle Aspiration Biopsy in Diagnosis of Peripheral Pulmonary Disease

目的:评价经纤支镜肺活检并刷检结合经皮肺穿针吸活检在肺周围型病变诊断中的价值。方法:116例肺外周病变的患者先进行纤支镜肺活检并刷检共163次,对于经纤支镜检未能获得诊断的37例患者再进行经皮肺穿针吸活检共42次。结果:经纤支镜肺活检并刷检获得诊断者79例,诊断率为68.1％。经皮肺穿针吸活检获得诊断者29例,诊断率为78.4％,二者结合后的诊断率明显提高为93.1％。结论:上述两种方法的结合应用,可明显提高肺外周病变的诊断率,值得临床推广应用。

Objective:To evaluate the diagnostic value of integration of transbranchial pulmonary biopsy (TBPB) and brush biopsy with percutaneous needle aspiration biopsy (PNAB) in patients with peripheral pulmonary disease. Methods:Under fluoro-scopic guidance, TBPB was taken 163 times in 116 patients with peripheral pulmonary disease, among whom 37 patients with negative TBPB underwent PNAB 42 times totally. Results:The positive rates of TBPB and PNAB were 68.1% and 78.4% respectively. However, the positive rate of combination of TBPB and PNAB was 93.1% . Conclusion:Both TBPB and brush biopsy with PNAB are valuable procedures in diagnosis of peripheral pulmonary disease.