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程序内计算机断层扫描指导导航行与通风器策略的 atelectasis (ICNVA):一个修改的电磁导航支气管镜

Shaohua Dai¹, Guoqiu Xu¹, Zhiguo Chen¹

¹Department of Thoracic Surgery, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, China.

Journal of thoracic disease

|June 17, 2024

概括

程序内CT导航与通风策略的atelectasis (ICNVA) 电磁导航支气管镜 (ENB) 通过减少CT-to-body分歧来提高外周肺病变的准确性. 这种新的技术是安全有效的,用于诊断具有挑战性的肺结节.

科学领域:

肺部病理学肺部病理学
医疗成像医学成像
干预性肺病学干预性肺病学

背景情况:

计算机断层扫描 (CT) - 身体差异显著影响电磁导航支气管镜 (ENB) 诊断外围肺病变的准确性.
为了解决这一局限性,开发了一种新的技术 - - 术内CT导航与通风器策略对透症 (ICNVA) - - ENB.

研究的目的:

评估ICNVA-ENB技术在患有外围肺病变的患者中的安全性和准确性.
评估与传统ENB相比,ICNVA-ENB方法实现的CT-to-body差异的减少.

主要方法:

一项涉及10名患有外围肺病变的患者的回顾性观察研究接受了ICNVA-ENB.
在实时路径规划中使用了手术内CT数据,并采用了特定的通风策略来维持肺膨胀并减少分歧.
通过测量ENB探针与病变之间的距离,比较快速现场评估 (ROSE) 与病理学,并计算CT-to-body分歧来评估准确性.

主要成果:

导航探头和损伤中心之间的平均距离为5.90±1.73毫米.
在90%的病例中,快速现场评估 (ROSE) 结果与术后病理一致.
与传统ENB (12.10±3.67毫米,P<0.01) 相比,ICNVA-ENB显示CT-to-body分歧显著减少 (6.60±2.59毫米).
平均手术时间为29.30±10.14分钟,其中有一例轻微的肺内出血.

结论:

ICNVA-ENB有效地减少了CT-to-body分歧,提高了对外围肺病变诊断的准确性.
已经证明ICNVA-ENB技术在干预性肺病学程序中是安全和准确的.

关键词:

电磁导航支气管镜检查 (ENB) 的方法这种病叫做 atelectasis.计算机断层扫描 - 身体分歧 (CT - 身体分歧)程序内计算机断层扫描 (程序内CT)呼吸器的战略呼吸器的战略

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