薄凸探头的可行性 EBUS范围用于诊断周围肺病变的诊断
Si Chen1,2, Hao Ji2,3, Han Yang1,2
1Department of Respiratory Endoscopy, Department of Respiratory and Critical Care Medicine, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai Engineering Research Center of Respiratory Endoscopy, Shanghai, China.
一种新型的薄型凸探头内支气管超声波 (TCP-EBUS) 范围显示了对外周肺病变 (PPL) 的跨支气管针吸收 (TBNA) 的高诊断产量和安全性. 这种先进的技术提高了对疑似恶性瘤的远端肺结节的可访问性.
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
- 医疗成像医学成像
背景情况:
- 周围肺病变 (PPL) 的跨支气管活检对支气管镜医生来说是一个挑战.
- 先进的辅助技术正在出现,以提高诊断能力.
研究的目的:
- 评估一种新型薄型凸探头内支气管超声波 (TCP-EBUS) 的诊断价值和安全性.
- 评估其在疑似恶性瘤的PPL患者的跨支气管针吸收 (TBNA) 中的实用性.
主要方法:
- 一个单一中心的可行性研究前性地招募了PPL患者.
- 使用TCP-EBUS和原型22G吸入针进行了病变活检.
- 主要终点是诊断产量.
主要成果:
- 分析了30名患者;在100%的病例中获得了足够的样本.
- 对于恶性PPL,整体诊断收益率为90% (27/30).
- 没有报告任何严重的不良事件.
结论:
- 通过TCP-EBUS,可以更好地接触到远端肺内病变.
- TCP-EBUS-TBNA是一种安全的实时程序,对恶性PPL具有高度敏感性.
- 无论支气管的标志如何,有效性都保持不变.
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