经电子支气管镜肺活检对肺周围型病变的诊断价值

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目的探讨经电子支气管镜肺活检对肺周围型病变的诊断价值.方法对106例肺周围型病变的患者经电子支气管镜按影像学解剖定位伸入进行肺活检;对尚未能确诊的病例在X线电视透视下重行肺活检.结果按影像学解剖定位肺活检确诊76例,阳性率71.7%;对尚未确诊的30例在X线电视透视下重行肺活检获得确诊18例,阳性率60.0%;共确诊94例,总确诊率88.7%(其中肺癌56例,炎症38例;肺癌占59.6%,居首位).结论经电子支气管镜按影像学解剖定位肺活检术操作方便,合并症少、安全性大,可避免射线对操作者影响,对肺周围型病
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