Transbronchial lung biopsy with fiberoptic bronchoscope.

S Valenti, A Scordamaglia
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Abstract

Transbronchial lung biopsy (TBB) was performed during fiberoptic bronchoscopy under fluoroscopic guidance in 133 patients with diffuse or peripherally localized lung diseases without endobronchial lesions. Histological diagnosis consistent with the clinical course and roentgenographic appearance was obtained in 96 patients (72%). In four cases specimens were inadequate for histological evaluation (3%). In 33 cases a diagnosis was not possible even though the specimens were adequate for histological examination. The low complication rate in this series seems due to the selection of patients and the technique used.

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纤维支气管镜下经支气管肺活检。
对133例无支气管内病变的弥漫性或周围局限性肺部疾病患者,在透视指导下,在纤维支气管镜下进行经支气管肺活检(TBB)。96例(72%)患者的组织学诊断与临床病程和x线表现一致。4例(3%)标本不足以进行组织学评估。在33例诊断是不可能的,即使标本足以进行组织学检查。在这个系列中,低并发症率似乎是由于患者的选择和所使用的技术。
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