线性声镜可能用于诊断周围肺结节
Lina Zuccatosta1, Francesca Gonnelli1, Gianmarco Gasparini2
1Pulmonary Diseases Unit, Azienda Ospedaliero Universitaria delle Marche, 60126 Ancona, Italy.
Diagnostics (Basel, Switzerland)
|July 29, 2023
概括
经过支气管针吸收 (EBUS-TBNA) 能够有效地诊断周围肺结节. 这种微创技术在选定的患者中显示出高的诊断产量和安全性.
科学领域:
- 肺部病理学 肺部病理学
- 干预性肺病学 干预性肺病学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 经 bronchial needle aspiration (EBUS-TBNA) 的确立为状/中状阶段和中心病变.
- 薄型超声波探针允许外围支气管结,以获得远端膜.
研究的目的:
- 评估EBUS-TBNA对外围肺结节的诊断产量和安全性.
- 评估EBUS-TBNA在中央气道以外的病变采样中的实用性.
主要方法:
- 对外围肺结节的EBUS-TBNA程序的回顾性分析.
- 纳入标准:单个结节,下叶,与>3mm支气管相邻,通过超声波可见.
主要成果:
- 包括30名患者;28个结节通过声支气管镜可视化.
- 在26个病例中,EBUS-TBNA实现了诊断 (总体为86.6%,可视化病变为92.8%).
- 诊断包括腺癌,癌类瘤,哈马瘤和转移. 没有显著的不良事件.
结论:
- EBUS-TBNA是一种有效和安全的方法,用于诊断特定的外周肺结节.
- 该技术适用于与EBUS-TBNA探针可接触的小支气管 (>3mm) 邻的下叶病变.
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