在肺部疾病中重复支气管镜的诊断产量和安全性:五年后期分析
Fatih Uzer1, Bedia Karacadir1, Sevcan Yirci1
1Department of Pulmonology, Akdeniz University, Antalya, Turkey.
Respiratory medicine
|August 2, 2024
概括
重复支气管镜检查是安全有效的,在需要第二次手术的患者中具有高的诊断收益率. 指示包括非诊断的初始测试或肺癌的分子测试.
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
- 医学诊断 医学诊断 医学诊断
背景情况:
- 支气管镜检查是肺部疾病的关键诊断工具.
- 由于初步的非诊断性手术或肺癌中高级分子检测,可能需要重复支气管镜检查.
研究的目的:
- 分析重复支气管镜手术的频率和症状.
- 评估重复支气管镜检查的安全性和诊断产量.
主要方法:
- 在2018年1月至2024年5月期间进行支气管镜检查的患者的回顾性研究.
- 纳入标准:非诊断性初始支气管镜检查或需要分子检测.
- 排除标准:不完整的记录或缺乏知情同意.
主要成果:
- 在3877名患者中,69名患者 (1.8%) 需要重复支气管镜检查.
- 主要适应症:非诊断的初始程序 (77%) 和样本不足以进行分子检测 (23%).
- 重复的程序是安全的,没有重大并发症,并改善了样本适用于分子测试的充分性.
结论:
- 重复支气管镜检查是一种安全的程序,具有很高的诊断收益率.
- 它对于获得非诊断初始结果或在肺癌中获得足够的样本进行分子分析是有价值的.
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