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本文对40例以弥漫性肺部病变为表现的转移性肺癌作了纤支镜检查,除2例外均在无X线透视下作经支气管肺活检(TBLB)或支气管粘膜活检(TBB)。纤支镜检查的确诊率为77.5%(31/40),其中刷检的阳性率为62.5%(25/40),活检阳性率为52.5%(21/40)。术中无1例发生严重并发症。本文对转移性肺癌及纤支镜检查的有关问题作了简要讨论。
In this study, 40 patients with metastatic pulmonary lesions with diffuse pulmonary lesions underwent bronchoscopy. Except for 2 exceptions, transbronchial lung biopsy (TBLB) or bronchial biopsy (TBB) was performed without X-ray fluoroscopy. The diagnostic rate of bronchoscopy was 77.5% (31/40). The positive rate of brushing was 62.5% (25/40) and the positive rate of biopsy was 52.5% (21/40). No serious complications occurred during surgery. This article briefly discusses issues related to metastatic lung cancer and bronchoscopy.