一次性灵活支气管镜与传统的可重复使用的灵活支气管镜:一项前性受控研究
Shuzhen He1, Lihua Xie2, Jianming Liu1
1Department of Pulmonary and Critical Care Medicine, The Third Xiangya Hospital of Central South University, Changsha, China.
BMC pulmonary medicine
|June 9, 2023
概括
单次使用的灵活支气管镜 (SFB) 和可重复使用的灵活支气管镜 (RFB) 在常规手术,支气管泡洗和活检中同样有效. 这表明SFB为复杂的支气管镜干预提供了安全和可行的替代方案.
科学领域:
- 肺部病理学 肺部病理学
- 医疗器械 医疗器械
- 预防传染病 预防传染病
背景情况:
- 可重复使用的灵活支气管镜 (RFB) 存在交叉污染和感染的风险.
- 一次性灵活支气管镜 (SFB) 消除了与可重复使用设备相关的感染风险.
- 缺乏对SFB与RFB在复杂的手术如活检中的性能进行比较的数据.
研究的目的:
- 为了比较SFB与RFB的有效性和安全性,在进行横支气管活检和其他支气管镜手术时.
- 评估SFB是否可以与RFB在诊断和干预支气管镜检查中的性能相匹配.
- 评估与RFB相比,运营商对SFB的满意度.
主要方法:
- 一项前性受控研究,涉及45名接受支气管镜活检的患者.
- 患者被分为SFB和RFB组进行例行支气管镜检查,支气管支气管洗和活检.
- 关键指标包括手术时间,支气管支气管洗液回收率,活检时间,出血量和通过问卷提供操作员反.
主要成果:
- 在SFB和RFB组之间,在例行检查时间 (P=0.308) 或活检时间 (P=0.512) 中没有发现显著差异.
- 支气管支气管洗液回收率相似,没有统计学上显著的差异 (P=0.863).
- 无论是SFB还是RFB都实现了100%的阳性活检率,操作人员都对SFB的表现表示普遍满意.
结论:
- 单次使用的灵活支气管镜与可重复使用的灵活支气管镜在常规支气管镜检查,支气管支气管洗和活检方面没有劣势.
- 在复杂的支气管镜手术中,SFB的疗效和安全性与RFB相提并论.
- 这些发现支持SFB的扩大临床应用,为患者提供更安全的替代方案.
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