电磁导航支气管镜联合径向探头支气管内超声在肺周围型病灶诊断中的应用

发布时间：2018-04-11 19:53

本文选题：电磁导航支气管镜 + 径向探头支气管内超声　；参考：《中国肺癌杂志》2017年12期

【摘要】：背景与目的随着高分辨计算机断层扫描(computed tomography,CT)的广泛应用和健康体检的普遍开展,大量周围型肺部病灶被发现,对临床诊断治疗提出了新的挑战。电磁导航支气管镜(electromagnetic navigation bronchoscope,ENB)和径向探头支气管内超声(radial probe bronchoscopy ultrasound,R-EBUS)是用于周围型肺部病灶诊断的新兴技术,本研究旨在探讨ENB联合R-EBUS对肺周围型病灶诊断中的应用价值。方法 2016年9月-2017年11月苏州大学附属第一医院胸外科应用ENB技术对18例患者的30处肺部周围型病灶进行了检查,术前制定导航计划,术中导航成功到达预定位置后使用R-EBUS确认病灶,依次使用穿刺针、细胞刷、活检钳进行病灶组织活检。结果 30处肺部周围型病灶,导航成功率为100%(30/30),阳性诊断率为90%(27/30)。手术时间为(95.61±28.74)min,每处病灶导航时间为(25.90±11.29)min,发生气胸1例,未见其他严重并发症。结论利用ENB联合R-EBUS技术诊断肺周围型病灶具有较高的导航成功率和诊断阳性率,安全有效,值得进行临床推广。
[Abstract]:Background & objective with the wide application of high resolution computed tomography CT (CT) and the general development of physical examination, a large number of peripheral pulmonary lesions have been found, which presents a new challenge for clinical diagnosis and treatment.Electromagnetic navigation bronchoscopes (navigation) and radial probe bronchoscopy ultrasound (R-EBUSUS) are new techniques for the diagnosis of peripheral pulmonary lesions. The purpose of this study was to explore the value of ENB combined with R-EBUS in the diagnosis of peripheral pulmonary lesions.Methods from September 2016 to November 2017, 30 peripheral pulmonary lesions in 18 patients were examined by ENB technique in thoracic surgery of the first affiliated Hospital of Suzhou University.R-EBUS was used to confirm the lesion after the navigation was successfully reached, and then biopsy was performed with puncture needle, cell brush and biopsy forceps.Results of 30 pulmonary peripheral lesions, the success rate of navigation was 100%. The positive rate of diagnosis was 90%.The operative time was 95.61 卤28.74 minutes, and the navigation time of each lesion was 25.90 卤11.29 minutes. Pneumothorax occurred in 1 case. No other serious complications were found.Conclusion ENB combined with R-EBUS technique is safe and effective in the diagnosis of peripheral pulmonary lesions.
【作者单位】：苏州大学附属第一医院;
【基金】：苏州市临床重点病种诊疗技术专项项目(No.LCZX201402)资助~~
【分类号】：R445.1;R563

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