Puar H S, Young R C, Armstrong E M
Chest. 1985 Mar;87(3):303-6. doi: 10.1378/chest.87.3.303.
Sixty-eight patients with a clinical diagnosis of sarcoidosis underwent flexible fiberoptic bronchial and transbronchial lung biopsies without the aid of fluoroscopy. Close observation of the normal respiratory excursions of the distal tracheobronchial tree and tactile sensations were found to be helpful in preventing pleural rupture. Sarcoidosis was histologically confirmed in bronchial or transbronchial tissue (or both) by this technique in 51 (76 percent) of 67 patients. Only a single pneumothorax and no significant bleeding resulted from this procedure. In the hands of experienced physicians, peripheral bronchial biopsies and transbronchoscopic lung biopsies are safe and accurate procedures even when performed in institutions where fluoroscopy is not immediately available.
68例临床诊断为结节病的患者在无荧光透视辅助的情况下接受了可弯曲纤维支气管镜和经支气管肺活检。发现密切观察远端气管支气管树的正常呼吸运动及触觉有助于预防胸膜破裂。通过该技术，67例患者中有51例（76%）在支气管或经支气管组织（或两者）中经组织学确诊为结节病。该操作仅导致1例气胸，未出现明显出血。在经验丰富的医生手中，即使在没有即时荧光透视设备的机构进行，周围支气管活检和经支气管镜肺活检也是安全且准确的操作。
