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目的:评价经纤维支气管镜肺活检对肺弥漫性疾病病因的诊断价值。方法:在X线透视下,对185 例肺弥漫性疾病患者,行纤维支气管镜肺活检取得肺组织,进行病理检查,并对临床资料和病理诊断进行回顾性分析。结果:本组肺弥漫性疾病病因诊断率为77% ,主要有特发性肺纤维化76 例(41% );继发性肺纤维化14例(7 %) ;肺癌22 例(11% );肺结核10 例(5 %) ;肺结节病9 例(4% ),未能得出诊断44 例(23 %) 。结论:经纤维支气管镜肺活检对肺弥漫性疾病病因具有较高的诊断价值
Objective: To evaluate the diagnostic value of bronchoscopic lung biopsy for the etiology of diffuse lung disease. Methods: In X-ray fluoroscopy, 185 patients with diffuse lung disease were examined with lung biopsy through fiberoptic bronchoscopy for pathological examination. The clinical data and pathological diagnosis were retrospectively analyzed. Results: The etiological diagnosis rate of diffuse lung disease in this group was 77%, mainly 76 cases (41%) of idiopathic pulmonary fibrosis, 14 cases (7%) of secondary pulmonary fibrosis, 22 cases of lung cancer (11%), ; Tuberculosis in 10 cases (5%); pulmonary sarcoidosis in 9 cases (4%), failed to draw a diagnosis in 44 cases (23%). Conclusion: The bronchoscopic lung biopsy has a high diagnostic value for the cause of pulmonary diffuse disease