摘要
目的:探讨经支气管超声引导鞘管(EBUS-GS)引导下经支气管肺活检术(TBLB)在肺外周病灶的临床应用价值。方法:2012年4月-2014年10月收治肺外周病灶患者34例,经内科保守治疗后病灶无吸收,所有患者均行EBUS-GS引导下TBLB及刷检术。结果:34例患者中,腺癌9例(26.5%),鳞状细胞癌6例(17.6%),小细胞癌5例(14.7%),大细胞癌2例(5.9%),肺转移癌1例(2.9%),肺结核1例(2.9%),炎症3例(8.8%)。阴性7例。总阳性率79.4%。34例患者中仅1例少量气胸,其他患者仅有少量出血。结论:EBUS-GS引导下TBLB对肺外周病灶是一种安全、有效的诊断手段,值得推广。
Objective:To discuss the clinical value of EBUS-GS guided transbronchial lung biopsy in peripheral pulmonary lesions.Methods:34 patients with pulmonary peripheral lesions were selected from April 2012 to October 2014.After conservative treatment showed no absorption,and all patients underwent EBUS-GS-guided TBLB and brush biopsy technique.Results:In 34 patients,9 cases of adenocarcinoma(26.5%),6 cases of squamous cell carcinoma(17.6%),5 cases(14.7%)of small cell carcinoma,2cases(5.9%)of large cell carcinoma,1 case(2.9%) of lung metastases,1 case(2.9%)of tuberculosis,3 cases(8.8%)of inflammation.7cases were negative.The total positive rate is 79.4%.In 34 patients,only 1cases of pneumothorax,other patients with only a small amount of bleeding.Conclusion:EBUS-GS-guided TBLB for peripheral pulmonary lesions is a safe and effective diagnostic tool,and it is worth promoting.
