径向超声、虚拟导航、超细支气管镜联合评价对肺外周结节的诊断价值

发布时间：2018-10-25 15:30

【摘要】：目的探讨径向超声(EBUS)联合虚拟导航(VBN)对肺外周结节的诊断价值。方法纳入2014年7月至2015年7月就诊唐都医院呼吸科的肺外周结节病变患者240例(0.8cm直径3cm),根据引导设备不同,分为径向超声联合虚拟导航组(EBUS+VBN组)、径向超声组(EBUS组)、虚拟导航组(VBN组)和对照组,分别行4组间诊断率的比较及病变不同大小时诊断率的比较,EBUS+VBN组与EBUS组定位病变时间及操作时间的比较。结果 240例患者中,EBUS+VBN组诊断率最高(81.67%),4组间诊断率差异有统计学意义(χ~2=19.34,P=0.00);EBUS+VBN组、EBUS组在直径小于或等于2cm的病灶中诊断率低于直径大于2cm的病灶,但差异无统计学意义(χ~2=2.04、3.40,P=0.15、0.07);EBUS+VBN组较EBUS组定位病变时间及操作时间均短,且差异无统计学意义(P=0.03、0.04)。结论径向超声联合虚拟导航可提高肺外周结节的诊断率,缩短定位病变时间及操作时间。
[Abstract]:Objective to evaluate the diagnostic value of radial ultrasound (EBUS) combined with virtual navigation (VBN) in peripheral pulmonary nodules. Methods from July 2014 to July 2015, 240 patients with peripheral pulmonary nodule lesions (0.8cm diameter 3cm) were enrolled in Department of Respiratory, Tangdu Hospital. They were divided into three groups: radial ultrasound combined with virtual navigation group (EBUS VBN group), radial ultrasound group (EBUS group), virtual navigation group (VBN group) and control group. The diagnostic rate of, EBUS VBN group and EBUS group were compared respectively. Results the diagnostic rate of, EBUS VBN group was the highest (81.67%). There was significant difference among the four groups (蠂 ~ 2 ~ (19.34) P ~ (0.00); EBUS VBN group). The diagnostic rate in EBUS group was lower than that in the lesion whose diameter was less than or equal to that of 2cm. But the difference was not statistically significant (蠂 ~ 2 ~ 2. 04 ~ 3. 40 ~ 3. 40); EBUS VBN group vs EBUS group). The lesion time and operation time of EBUS group were shorter than that of EBUS group, and the difference was not statistically significant (P0. 03 ~ 0. 04). Conclusion Radial ultrasound combined with virtual navigation can improve the diagnosis rate of peripheral pulmonary nodules and shorten the time of localization and operation.
【作者单位】：第四军医大学唐都医院呼吸与危重症医学科;
【基金】：国家公益性行业科研专项(201402024) 第四军医大学唐都医院面上项目(2015LCYJ005)
【分类号】：R563

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