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目的 :经纤维支气管镜诊断肺占位病变的临床价值。方法 :选择我院2015年1月至2016年12月经过胸片或者CT诊断为肺占位性病变的患者52例。其中30例患者给予经纤维支气管镜检查然后进行活检取组织,其余的22例患者行CT引导下经皮肺穿刺活检。比较两种肺活检方法的诊断阳性率。结果 :纤维支气管镜肺活检的阳性率为76.7%,经皮穿刺阳性率为81.8%,两种差异无统计学意义(P>0.05);纤支镜并发症为3.3%,经皮穿刺为27.2%,两种并发症发生率差异具有统计学意义(P<0.05)。结论 :纤维支气管镜活检对于肺占位性病变的诊断具有较高的阳性率,并且并发症少,值得临床推广使用,从而提高临床诊断准确率。
Objective: To evaluate the clinical value of bronchoscopy in the diagnosis of lung lesions. Methods: From January 2015 to December 2016 in our hospital, 52 cases were diagnosed as lung space-occupying lesions through chest radiography or CT. Thirty patients underwent bronchoscopy and biopsy, and the remaining 22 patients underwent CT-guided percutaneous lung biopsy. The diagnostic positive rates of both lung biopsies were compared. Results: The positive rate of fiberoptic bronchoscopy biopsy was 76.7% and the positive rate of percutaneous puncture was 81.8%. There was no significant difference between the two groups (P> 0.05). The complications of bronchoscopy were 3.3% and the percutaneous puncture was 27.2%. %, The difference between the two complications was statistically significant (P <0.05). Conclusions: Fiberoptic bronchoscopy has a high positive rate for the diagnosis of lung space-occupying lesions with less complications, which is worthy of clinical promotion and use to improve the accuracy of clinical diagnosis.