摘要
目的探讨电磁导航支气管镜(ENB)联合径向超声(EBUS)对肺外周病变的诊断价值。方法纳入2018年1月至2019年7月就诊唐都医院呼吸科的肺外周病变32例,筛除最终诊断不明确的和未探及活检的6例,对比入选26例诊断率及确诊病例临床特征分层关系和未确诊病例临床特征。结果ENB+EBUS确诊17例,诊断率65.4%,确诊17例患者中恶性病变10例,良性病变17例。ENB+EBUS诊断率临床特征:d<1 cm组、1 cm≤d<2 cm组、d≥2 cm组诊断率无统计学差异(χ^(2)=1.194,P=0.400);d<1 cm组、1 cm≤d<3 cm组、d≥3 cm组诊断率无统计学差异(χ^(2)=3.221,P=0.151);有无支气管充气征组诊断率无统计学差异(χ^(2)=2.148,P=0.188);右肺上叶、右肺下叶、右肺中叶、左肺上叶、左肺下叶、双肺6组诊断率无统计学差异(χ^(2)=6.523,P=0.259);未探及2例病例均位于右肺上叶。结论ENB+EBUS可提高肺外周病变的诊断率,诊断率与病变大小、距胸膜距离、肺叶分布、有无支气管充气征无关。
Objective To explore the diagnostic value of electromagnetic navigation bronchoscopy(ENB)combined with radial ultrasound(EBUS)for peripheral lung disease.Methods This study summarized total Thirty-two patients with peripheral pulmonary lesions from the Department of Respiratory Diseases of Tangdu Hospital from January 2018 to July 2019.Screening of 6 cases with unclear final diagnosis and undetected and biopsy,comparing the diagnosis rate and clinical characteristics of confirmed cases with stratified relationship and clinical characteristics of undiagnosed cases.Results 17 cases were diagnosed with ENB+EBUS,with a diagnosis rate of 65.4%.Among the 17 patients,10 had malignant lesions and 17 were benign lesions.Clinical characteristics of ENB+EBUS diagnosis rate:d<1 cm group,1 cm≤d<2 cm group,d≥2 cm group had no statistically significant difference in the diagnostic rate(χ^(2)=1.194,P=0.400);There was no statistical difference in the diagnostic rate between the d<1 cm group,1 cm≤d<3 cm group,and d≥3 cm group(χ^(2)=3.221,P=0.151);there was no statistical difference in the diagnostic rate of the group with or without bronchial inflation sign(χ^(2)=2.148,P=0.188);there was no statistical difference in the diagnosis rates of the right upper lobe,right lower lobe,middle right lobe,upper left lobe,left lower lobe,and both lungs(χ^(2)=2.148,P=0.188);2 cases were unexplored located in the right upper lobe.Conclusion ENB+EBUS could improve the diagnosis rate of peripheral lung lesions.The diagnosis rate was not related to the size of the lesion,the distance from the pleura,the distribution of the lung lobes and the presence or absence of bronchial inflation signs.
作者
房延凤
马李杰
李王平
张红军
张海涛
张涛
金发光
刘伟
Fang Yanfeng;Ma Lijie;Li Wangping;Zhang Hongjun;Zhang Haitao;Zhang Tao;Jin Faguang;Liu Wei(Department of Respiratory and Critical Care Medicine,Tangdu Hospital,Air Force Medical University,Xi′an 710038,China;Department of Pulmonary and Critical Pulmonary and Critical Care Medicine,General Hospital of Western Theater Command,Chengdu 610083,China)
出处
《中华肺部疾病杂志（电子版）》
CAS
2021年第1期58-62,共5页
Chinese Journal of Lung Diseases(Electronic Edition)
基金
国家公益性行业科研专项(201402024)。
关键词
电磁导航
径向超声
肺外周病变
诊断率
临床特征
Electromagnetic navigation
Radial ultrasoundvirtual peripheral lung disease
diagnosis rate
Clinical features
作者简介
通信作者:刘伟,Email:liuweilung@163.com。
