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Ultrathin bronchoscope (UT with a 3.0-mm outer diameter and a 1.7-mm working channel currently appeared as a potential tool for better biopsy and diagnosis of peripheral pulmonary lesions (PPLs) by accessing more distal bronchus. However, published research is primarily limited to diagnosis value of UTB for PPLs with fluoroscopy, the value of UTB compared with thin bronchoscope (T without fluoroscopy guidance has not been determined yet. We design a prospective, randomized, controlled, non-inferior, multicenter study ai