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胸腔淋巴结和肺病变的采样:程序利用的趋势

Momen M Wahidi¹, Sonia Lee², Geri R Cramer²

¹Division of Pulmonary and Critical Care Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.

Respiration; international review of thoracic diseases

|June 8, 2023

概括

介质视镜的使用量已经下降,而胸腔淋巴结的内支气管超声波 (EBUS) 引导采样正在增加. 指导式支气管镜肺采样显示了有利的肺胸病率,这表明肺损伤和淋巴结采样实践的转变.

科学领域:

肺部病理学肺部病理学
胸部外科手术胸部外科手术
医疗成像医学成像

背景情况:

支气管镜技术已经进步,影响胸部淋巴结和肺损伤采样实践.
传统的方法,如介质镜正在重新评估与较新的,不那么入侵的方法.

研究的目的:

分析介质镜,胸针吸收 (TTNA) 和支气管镜跨支气管采样的使用趋势.
为了比较不同采样技术的术后肺胸部发病率,包括COPD患者.

主要方法:

对2016-2020年医疗保险和商业保险索赔数据的分析.
使用当前程序术语代码识别程序.
根据手术类型评估肺胸病率.

主要成果:

媒体镜的使用率显著下降 (医疗保险-47.3%,商业-65.4%).
线性EBUS引导的横支气管针吸入 (TBNA) 增加了 (+28.2%医疗保险).
穿皮肺活检索赔减少,而指导式支气管镜技术的使用增加.
支气管镜透支气管活检显示,肺胸病发病率低于皮肤活检.

结论:

线性EBUS导向采样现在超过了胸部淋巴结采样中的中枢视镜.
导向技术越来越多地用于横支气管肺部采样.
转向指导式支气管镜采样的转变与改善的肺胸部安全概况相一致.

关键词:

末支支支气管的超声波检查结果肺癌是一种肺癌.媒体敏度镜检查 (Mediastinoscopy) 是一种中介敏度镜.导航支气管支气管镜检查导航支气管支气管检查肺部胸部肺部胸部辐射内支气管超声波辐射内支气管超声波通过支气管进行活检.

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