电磁导航支气管镜联合径向探头支气管内超声在肺周围型病灶诊断中的应用

背景与目的 随着高分辨计算机断层扫描（computed tomography,CT）的广泛应用和健康体检的普遍开展,大量周围型肺部病灶被发现,对临床诊断治疗提出了新的挑战。电磁导航支气管镜（electromagnetic navigation bronchoscope,ENB）和径向探头支气管内超声（radial probe bronchoscopy ultrasound,R-EBUS）是用于周围型肺部病灶诊断的新兴技术,本研究旨在探讨ENB联合R-EBUS对肺周围型病灶诊断中的应用价值。方法 2016年9月-2017年11月苏州大学附属第一医院胸外科应用ENB技术对18例患者的30处肺部周围...

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Bibliographic Details
Published in中国肺癌杂志 Vol. 20; no. 12; pp. 837 - 840
Main Author 黄海涛;陈少慕;潘良斌;陈科;姚飞荣;马海涛
Format Journal Article
LanguageChinese
Published 苏州大学附属第一医院,苏州,215006 2017
Subjects
径向探头支气管内超声
电磁导航支气管镜
肺周围型病灶
Radial probe endobronchial ultrasound
电磁导航支气管镜
径向探头支气管内超声
Electromagnetic navigation bronchoscopy
肺周围型病灶
Peripheral pulmonary lesion
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ISSN1009-3419
1999-6187
DOI10.3779/j.issn.1009-3419.2017.12.12

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Summary:背景与目的 随着高分辨计算机断层扫描（computed tomography,CT）的广泛应用和健康体检的普遍开展,大量周围型肺部病灶被发现,对临床诊断治疗提出了新的挑战。电磁导航支气管镜（electromagnetic navigation bronchoscope,ENB）和径向探头支气管内超声（radial probe bronchoscopy ultrasound,R-EBUS）是用于周围型肺部病灶诊断的新兴技术,本研究旨在探讨ENB联合R-EBUS对肺周围型病灶诊断中的应用价值。方法 2016年9月-2017年11月苏州大学附属第一医院胸外科应用ENB技术对18例患者的30处肺部周围型病灶进行了检查,术前制定导航计划,术中导航成功到达预定位置后使用R-EBUS确认病灶,依次使用穿刺针、细胞刷、活检钳进行病灶组织活检。结果 30处肺部周围型病灶,导航成功率为100%（30/30）,阳性诊断率为90%（27/30）。手术时间为（95.61±28.74）min,每处病灶导航时间为（25.90±11.29）min,发生气胸1例,未见其他严重并发症。结论 利用ENB联合R-EBUS技术诊断肺周围型病灶具有较高的导航成功率和诊断阳性率,安全有效,值得进行临床推广。
Bibliography:Electromagnetic navigation bronchoscopy; Radial probe endobronchial ultrasound; Peripheral pulmonary lesion
Background and objective With the application of high resolution computed tomography （CT）, a large number of peripheral lung lesions were found. It put forward new challenge on clinical diagnosis and treatment for these peripheral lung lesions. Electromagnetic navigation bronchoscopy （ENB） and radial endobronchial ultrasound probe （R-EBUS） are new technologies used for the diagnosis of peripheral lung lesions. The aim of this study is to explore the application value of ENB combined with K-EBUS in the diagnosis of peripheral pulmonary lesions. Methods From September 2016 to November 2017, eighteen patients with thirty peripheral pulmonary lesions in the First Affiliated Hospital of Soochow University were enrolled. The ENB was performed on these patients who were detected peripheral lung lesions by chest HR-CT. After success- ful navigation, the lesions location was confirmed by R-EBUS~ and specimens wer
ISSN:1009-3419
1999-6187
DOI:10.3779/j.issn.1009-3419.2017.12.12