在不同类型的外围肺病变中,EBUS-TBLC增加了诊断率
Ziwei Zhu1, Jikai He2, Yanyan Cao3
1Department of Respiratory and Critical Care Medicine, The Huaian Clinical College of Xuzhou Medical University, Huai'an 223300, China.
Journal of Cancer
|January 17, 2024
概括
带导 (EBUS-GS) 的内支骨超声学程序,包括囊活检和冷活检,对于诊断周围肺病变是安全的. 第二种类型的II型.
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:
- 带导 (EBUS-GS) 带有支气管内膜超声波越来越多地用于诊断周围肺病变 (PPLs).
- EBUS-GS的诊断产量受到病变位置和探针定位的影响.
- 开发了一种新的程序,使用EBUS与跨支气管肺冷检查 (EBUS-TBLC),在全身麻醉下使用喉膜呼吸道 (LMA),以提高诊断率.
研究的目的:
- 为了回顾评估EBUS-GS引导的囊活检和EPL的EBUS-TBLC的诊断性能.
- 为了比较"盲目结束" (I型) 和"通道" (II型) EBUS程序的诊断产量.
- 评估病变特征 (同心或异心) 对诊断结果的影响.
主要方法:
- 在两年内,对136例经过EBUS-GS引导的囊活检或PPL的EBUS-TBLC进行了回顾性审查.
- 程序被分为I类 (盲目结束) 和II类 (通过).
- 分析包括基于手术类型的诊断产量,活检方法 (囊与冷活检) 和病变特征.
主要成果:
- 总共分析了126种手术,整体诊断率为73%.
- 与I型相比,II型手术的诊断产量显著更高 (P=0.012).
- 针对异常损伤的I型手术的诊断收益率最低 (58.2%),而同心损伤的II型手术的诊断收益率最高 (74.8%). 并发症率很低,为2.6%.
结论:
- 无论是EBUS-GS引导的囊活检还是EBUS-TBLC都是诊断PPL的安全有效的技术.
- 程序类型显著影响诊断产量,而II类程序提供更优异的结果.
- 损伤特征,特别是I型手术中的异常位置,会对诊断成功产生负面影响.
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