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Vol. 12. Issue 2.
Pages 63-67 (April - June 1976)
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Vol. 12. Issue 2.
Pages 63-67 (April - June 1976)
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Biopsia pulmonar transbronquial mediante el broncofibroscopio
Transbronchial lung biopsy using the broncho-fiberscope
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J. Castella*, L. Marín**, C. Puzo*, J. Rubio*, P. Grañena*, R. Cornudella*, F. Coll Colomé**
* Servicio de Aparato Respiratorio del Hospital de la Sta. Cruz y S. Pablo de Barcelona
** Servicio de Aparato Respiratorio del Hospital de la Cruz Roja de Barcelona
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Resumen

Se presenta la experiencia obtenida con la biopsia transbronquial mediante el broncofibroscopio en 47 casos con densidades radiológicas pulmonares no homogéneas. En el 82,9% se obtuvo tejido pulmonar, y en otros 5 casos fragmentos de la pared de bronquios periféricos; en todos ellos el material biopsiado fue útil para el estudio histológico. La biopsia dio un diagnóstico positivo en el 55,3% de los 47 casos, y en otros 3 la broncoaspiración fue diagnóstica, de modo que la rentabilidad global de la exploración fue del 61,7%.

Las únicas complicaciones fueron: un neumotórax, una hemoptisis y esputos hemáticos en dos casos.

Se revisan las experiencias de otros autores y se señala la gran utilidad de esta técnica en el diagnóstico de las neumopatías difusas debido a su buena tolerancia, escasa morbilidad y buena rentabilidad.

Summary

Experience obtained in transbronchial biopsy using the bronchofiberscope in 47 cases with non-homogeneous radiological densities is presented. Lung tissue was obtained in 82.9 percent of the cases, and in five patients some fragments of the peripheral bronchial walls were taken; in every case the specimens were useful for the pathological studies. Biopsy gave a positive diagnosis in 55.3 percent of the 47 cases, and in three others bronchial washings were used in diagnosis, so that the overall yield of the investigation was 61.7 percent.

A pneumothorax, an hemoptysis and two cases of hematic sputum were the only complications.

Other author experiences are reviwed and the usefulness of this technique is pointed out in the diagnosis of diffuse pneumonopathies because of its high tolerance, low morbidity, and high yield.

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Copyright © 1976. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología
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