基于办公室的灵活内镜引导活检:单中心可行性分析
Nisha1, Vimmi Gautam1, Smriti Panda1
1Department of Otorhinolaryngology, Head and Neck Surgery, AIIMS, New Delhi, India.
概括
基于办公室的灵活光纤内镜导向活检 (FEB) 为诊断上空消化道病变提供了一种不那么侵入性的方法. 这种手术具有很好的准确性,可以减少在全身麻醉下进行传统喉腔镜的需要.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 内镜检查是指内镜检查.
- 在瘤学瘤学.
背景情况:
- 直接喉腔镜与活检是上空消化道 (UADT) 病变的标准,但通常需要全身麻醉.
- 基于办公室的灵活指导活检为UADT活检提供了一个不那么侵入性的替代方案.
研究的目的:
- 评估诊断产量,准确性,可行性和办公室灵活光纤内镜导向活检 (FEB) 对喉和喉病变的安全性.
主要方法:
- 在2022年6月至12月期间,FEB程序的回顾性队列研究在第三级护理转诊中心进行.
- 这项研究包括了181名连续患有各种UADT病变的患者.
主要成果:
- 在166/181名患者中,FEB证实了恶性病变,实现了总体诊断准确率为87.29%.
- 该程序显示高灵敏度 (86.8%) 和特异性 (100%),转换率低到直接喉腔镜 (7.73%).
- 轻微并发症发生在14.28%的手术中,主要并发症发生在5.9%的手术中.
结论:
- 基于办公室的灵活光纤活检是针对UADT病变的直接喉腔镜活检的可行替代方案.
- 正确使用FEB可以减少直接喉镜检查的必要性,改善患者的舒适度,并可能降低医疗保健成本.
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