Diagnostic value and safety analysis of thoracoscopic lung biopsy in diffuse parenchymal lung disease
10.3969/j.issn.1007-1989.2016.02.023
- VernacularTitle:内科胸腔镜肺活检对弥漫性间质性肺疾病诊断价值及安全性分析
- Author:
Wen DONG
;
Yijiang HUANG
;
Haihong WU
;
Linhui HUANG
;
Chong MENG
- Keywords:
thoracoscopy;
lung biopsy;
diffuse parenchymal lung disease
- From:
China Journal of Endoscopy
2016;22(2):95-98
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical value and safety of thoracoscopic lung biopsy in the diagnosis of diffuse parenchymal lung diseases. Methods 35 patients with diffuse parenchymal lung disease underwent thoraco-scopic lung biopsy were reviewed in order to obtain clinical and pathological data. Results 31 cases were diagnosed by pathology, and the total positive diagnostic rate was 88.6 % (31/35), 10 cases as usual interstitial pneumonial (UIP), 6 cases as Tuberculosis, 4 cases as alveolar cell carcinoma, 3 cases as nonspecific interstitial pneumonia (NSIP), 3 cases as crypto-genieorganizingpneumonia (COP), 2 cases as pulmonary alveolar proteinosis (PAP), 1 case as Wegener's granulomatosis (WG), 1 case as acute interstitial pneumonia (AIP), 1 case as lymphangioleiomyomatosis (LAM). 3 cases (8.6 %) were occurred with postoperative complications, 2 cases as pulmonary infection combined with respiratory failure, 1 case as idiopathic pulmonary fibrosis with acute exacerbation, and 2 cases (5.7 %) were complicated with death. Conclusions Thoracoscopic lung biopsy is a safe and effective method which helps final di-agnosis of diffuse parenchymal lung disease.
