不同肺活检方法诊断老年患者肺部弥漫性间质性疾病的价值研究

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Abstract Objective To explore and analyze the clinical value of different lung biopsy methods in the diagnosis of diffuse interstitial lung disease in elderly patients.Methods A total of 117 patients with diffuse interstitial lung disease were selected in our hospital from March 2009 to September 2017.According to the patients′voluntary selection of lung biopsy,51 patients underwent fiberoptic bronchoscopic lung biopsy(TBLB)were selected as the TBLB group,35 patients in the puncture group underwent CT guided percutaneous lung biopsy,and 31 patients in the surgical lung biopsy group underwent video-assisted thoracoscopy or lung biopsy and small thoracotomy lung biopsy were performed.The diagnostic value,the incidence rate of postoperative complications,hospitalization time and operative cost of three lung biopsy methods were compared.Results The TBLB group clearly detected 34 cases(66.67%),the puncture group clearly detected 24 cases(68.57%),the surgical lung biopsy group was clearly detected in 30 cases(96.77%).The surgical lung biopsy group was significantly higher than that of the TBLB group and the puncture group(P＜0.05),and there was no significant difference between the TBLB group and the puncture group (P＞0.05).The incidence of postoperative complications in surgical lung biopsy group was significantly higher than that in the TBLB group and the puncture group (P＜0.05).There was no significant difference in the incidence of postoperative complications between the TBLB group and the puncture group(P＞0.05).Postoperative hospitalization time in the surgical lung biopsy group were significantly longer than that in the TBLB group and the puncture group,and biopsy cost in the surgical lung biopsy group was significantly higher than that in the TBLB group and the puncture group (P＜0.05).There was no significant difference in postoperative hospitalization time and biopsy cost between the TBLB group and the puncture group (P＞0.05).Conclusion For elderly patients with pulmonary diffuse interstitial lung disease,first consider transbronchial lung biopsy,and for the full clinical assessment is not clear diagnosis,or pathological type large biopsy patients,which can be taken open or video-assisted thoracoscopic lung biopsy.

Key words： Lung biopsy Old age Lung disease Diffuse interstitial lung disease Diagnosis Fiberoptic bronchoscopy

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	ZHAN Zi-e
	ZHAO Qiang-guang
	WU Sheng
	LI You-heng

Cite this article:

ZHAN Zi-e,ZHAO Qiang-guang,WU Sheng, et al. Value study of different lung biopsy methods in the diagnosis of diffuse interstitial lung disease in elderly patients[J]. 中国当代医药, 2018, 25(21): 12-15.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I21/12

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