Chinese Journal of Clinical Anatomy >
The diagnostic value of transbronchial lung biopsy and CT-guided percutaneous lung puncture for occupying lesions in the lung space
Received date: 2014-02-26
Online published: 2014-06-04
Objective To evaluate the diagnostic value of transbronchial lung biopsy and CT-guide percutaneous lung puncture for occupying leslies in the lung space. Methods 192 patients with occupying lesions in the lung space were selected and All received chest radiograph and chest CT. 126 of them underwent transbronchial lung biopsy and 66 patients underwent lung biopsy through CT guidedpercutaneous lung punctureThe diagnostic rate of two methods were compared to evaluate the diagnostic value for occupying lesions in the lung space. Results The size and shape of occupying lesions in the lung space can be directly observed by bronchofiberscope. The diagnostic rate of occupying lesions in the lung space by transbronchial lung biopsy and CT-guided percutaneous lung puncture were 83.1% and 88.7%. There was no significant difference between two methods for the diagnosis of occupying lesions in the lung space. However, compared to CT-guided percutaneous lung puncture, transbronchial lung biopsy had lower incidence of complication and higher safety with statistical significance (P<0.05). Conclusion The diagnostic value of transbronchial lung biopsy and CT-guided percutaneous lung puncture for occupying lesions in the lung space is similar. But compared to CT-guided percutaneous lung puncture, transbronchial lung biopsy is safer.
CUI Hai-Yan , LIANG Zhen-Yu , ZHANG Da-Cheng , QUAN Guo-Chi , CENG Cong . The diagnostic value of transbronchial lung biopsy and CT-guided percutaneous lung puncture for occupying lesions in the lung space[J]. Chinese Journal of Clinical Anatomy, 2014 , 32(3) : 361 -364 . DOI: 10.13418/j.issn.1001-165x.2014
[1] Piciucchi S, Romaqnoli M, Chilosi M, et al. Prospective evaluation of drug-induced lung toxicity with high-resolution CT and transbronchial biopsy
[J]. Radiol Med, 2011,116(2): 246-63.
[2] 中华医学会呼吸病学分会. 诊断性可弯曲支气管镜应用指南(2008)年版
[J].中华结核和呼吸杂志, 2008, 31(1): 14-17.
[3] Hsia DW, Jensen KW, Curran-Everett D, et al. Diagnosis of lung nodules with peripheral/radial endobronchial ultrasound-guided transbronchial biopsy
[J]. J Bronchology Interv Pulmonol, 2012, 19(1): 5-11.
[4] Satoh S, Ohdama S, Matsubara O, et al. CT-guided automated cutting needle biopsy by a combined method for accurate specific diagnosis of focal lung lesions
[J]. Radiat Med, 2005, 23(1): 30-36.
[5] 吴正春. 纤维支气管镜在肺部疾病诊断中的作用
[J]. 中国乡村医药杂志, 2013, 20(18): 5-6.
[6] 吴芳勤, 周质胜.“X线阴性”肺癌误诊的探讨
[J]. 临床肺科杂志, 2001, 6(3): 57.
[7] 杨刚, 何安南. 胸部CT，纤维支气管镜及痰脱落细胞联合检查在中央型肺癌诊断中的价值
[J]. 临床肿瘤学杂志, 2007,12(8): 609-611.
/
| 〈 |
|
〉 |
