Peng Z M, Zheng D Y, Chen P
Department of Respiratory Medicine, Second Xiangya Hospital, Central South University, Changsha 410011, China.
Hunan Yi Ke Da Xue Xue Bao. 2001 Oct 28;26(5):440-2.
To understand the diagnostic value of peripheral and diffuse pulmonary disease examined with Transbronchial lung biopsy (TBLB) via fiberoptic bronchoscope.
Four hundred and sixty patients of peripheral and diffuse pulmonary disease were diagnosed with TBLB via fiberoptic bronchoscope without fluoroscopic guidance. The result of clinical data and pathologic diagnosis were underwent retrospectively analyses.
Confirmed diagnosis was obtained in 351 patients; the total positive diagnostic rate was 76.3%. Diseases were included lung cancer, pulmonary tuberculosis, diffuse interstitial pulmonary fibrosis, pulmonary sarcoidosis etc. The positive diagnostic rate of TBLB on pleural pulmonary disorders was the lowest. There were no any other serious complications except bleeding, blood sputum, fever and pneumothorax occasionally.
TBLB in diagnoses of peripheral and diffuse pulmonary disease is a reliable, safe, handy cheap, may repeatable operational method.
了解经纤维支气管镜进行经支气管肺活检（TBLB）检查对周围型及弥漫性肺部疾病的诊断价值。
对460例周围型及弥漫性肺部疾病患者在无透视引导下经纤维支气管镜行TBLB检查，对临床资料及病理诊断结果进行回顾性分析。
351例患者获得确诊，总阳性诊断率为76.3%。疾病包括肺癌、肺结核、弥漫性间质性肺纤维化、肺结节病等。TBLB对胸膜下肺部疾病的阳性诊断率最低。除偶尔出现出血、血痰、发热和气胸外，无其他严重并发症。
TBLB在周围型及弥漫性肺部疾病的诊断中是一种可靠、安全、简便、廉价且可重复操作的方法。
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