经纤支镜透支气管壁肺活检与经皮肺穿刺活检对周围型肺占位病变诊断价值的评价.docVIP

经纤支镜透支气管壁肺活检与经皮肺穿刺活检对周围型肺占位病变诊断价值的评价 　　【摘要】 目的：分析经纤支镜透支气管壁肺活检与经皮肺穿刺活检对周围型肺占位病变诊断价值。方法：收集分析2012年1月-2016年1月在笔者所在医院就诊的周围型肺占位病变患者126例，采用随机数字表法分为试验组和对照组，对照组32例，试验组94例，对照组采用经皮肺穿刺活检术，试验组采用经纤支镜透支气管壁肺活检术，比较两组的确诊阳性率。结果：试验组94例患者中，92例明确诊断，其中78例符合最后诊断，确诊阳性率为84.78%；对照组34例患者中，30例明确诊断，其中26例肺活检诊断最后确诊，确诊阳性率为86.67%，两组确诊阳性率比较，差异无统计学意义（P0.05）。试验组并发症发生率为2.13%，明显低于对照组的15.63%，差异有统计学意义（P0.05）。结论：经纤支镜透支气管壁肺活检操作更加简便，并发症较少，但是对周围型肺占位病变的诊断不足。经皮肺穿刺活检对周围型肺占位病变的诊断结果优于经纤支镜透支气管壁肺活检，但是操作复杂，并发症多。临床中需要根据患者的具体情况，采取最合适的检查方式。 　　【关键词】 经纤支镜透支气管壁肺活检； 经皮肺穿刺活检； 周围型肺占位病变诊断价值 　　中图分类号 R734.2 文献标识码 B 文章编号 1674-6805（2016）16-0056-03 　　【Abstract】 Objective：To analyze the diagnostic value of lung biopsy and percutaneous lung biopsy for peripheral lung space occupying lesions.Method：Collection and analysis of 126 patients with peripheral lung space occupying lesions in our hospital from January 2012 to January 2016，according to the random number table method，they were randomly divided into the experimental group and the control group，32 cases in the control group，94 patients in the experimental group.The control group was treated with percutaneous lung puncture，the experimental group was treated with the use of the fiber support mirror in the lung biopsy，the positive rate of the two groups was compared.Result：Among the 94 patients in the experimental group，92 cases were diagnosed clearly，among which 78 cases were diagnosed as final and the positive rate was 84.78%.In the control group of 34 patients，30 cases were diagnosed clearly，26 cases of lung biopsy diagnosis was finally diagnosed，the positive rate was 86.67%，there was no significant difference in the positive rates between the two groups（P0.05）.The complication rate of the experimental group was 2.13%，which was significantly lower than that of the control group（15.63%），and the difference was statistically significant（P0.05）.Conclusion：Through the bronchial wall by bronchoscopy lung biopsy operation more simple，less complications，but the lack of diagnosis o