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[1]刘 颖,张 业,颜晶晶,等.经引导鞘超声支气管镜对肺外周结节的诊断意义[J].中华肺部疾病杂志,2021,(06):794-796.[doi:10.3877/cma.j.issn.1674-6902.2021.06.023]
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经引导鞘超声支气管镜对肺外周结节的诊断意义(PDF)

《中华肺部疾病杂志》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2021年06期
页码:
794-796
栏目:
临床研究
出版日期:
2021-12-20

文章信息/Info

Title:
-
作者:
刘 颖; 张 业; 颜晶晶; 刘 政
065000 廊坊,河北中石油中心医院呼吸与危重症医学科
Author(s):
-
关键词:
引导鞘;  超声支气管镜;  肺外周结节;  诊断
Keywords:
-
分类号:
R563
DOI:
10.3877/cma.j.issn.1674-6902.2021.06.023
摘要:
目的 分析经引导鞘超声支气管镜对肺外周结节的诊断意义。方法 选择2017年1月至2019年9月我院收治的疑诊肺外周结节患者49例为对象,随机分为观察组26例,对照组23例,观察组采用经引导鞘超声支气管镜检查; 对照组采用经CT引导下经皮肺穿刺活检术,比较两组诊断的差异。结果 观察组肺腺癌、肺鳞癌、小细胞肺癌、非小细胞肺癌分别为7、3、2、1例,对照组肺腺癌、肺鳞癌、小细胞肺癌、非小细胞肺癌分别为6、3、2、1例,两组恶性肺外周结节类型比较差异无统计学意义(χ2=0.000,0.076,0.156,0.403,P=0.947,0.782,0.693,0.569)。观察组操作时间为(35.24±10.28)min,明显短于对照组(56.15±13.64)min,P<0.05。经引导鞘超声支气管镜检查和经CT引导下经皮肺穿刺活检术对肺外周结节的诊断比较,差异无统计学意义,P>0.05。观察组并发症发生率稍低于对照组,但两组比较差异无统计学意义(P>0.05)。结论 经引导鞘超声支气管镜和经CT引导下经皮肺穿刺活检术对肺外周结节的诊断相近,但前者的操作时间较短,安全性高。
Abstract:
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参考文献/References:

1 钱桂生. 肺癌不同病理类型发病率的变化情况及其原因[J/CD]. 中华肺部疾病杂志(电子版), 2011, 4(1): 1-5.
2 Hoy H, Lynch T, Beck M.Surgical treatment of lung cancer[J]. Crit Care Nurs Clin North Am, 2019, 31(3): 303-313.
3 Nasim F, Sabath BF, Eapen GA. Lung cancer[J]. Med Clin North Am, 2019, 103(3): 463-473.
4 Oudkerk M, Liu S, Heuvelmans MA, et al. Lung cancer LDCT screening and mortality reduction-evidence, pitfalls and future perspectives[J]. Nat Rev Clin Oncol, 2021, 18(3): 135-151.
5 Hong KS, Lee KH, Chung JH, et al. Utility of radial probe endobronchial ultrasound guided transbronchial lung biopsy in bronchus sign negative peripheral pulmonary lesions[J]. J Korean Med Sci, 2021, 36(24): 176.
6 Fielding DIK, Bashirzadeh F, Son JH, et al. First human use of a new robotic-assisted fiber optic sensing navigation system for small peripheral pulmonary nodules[J]. Respiration, 2019, 98(2): 142-150.
7 Alexander M, Kim SY, Cheng H. Update 2020: Management of non-small cell lung cancer[J]. Lung, 2020, 198(6): 897-907.
8 Deshwal H, Avasarala SK, Ghosh S, et al. Forbearance with bronchoscopy: a review of gratuitous indications[J]. Chest, 2019, 155(4): 834-847.
9 Song J, Xuan L, Wu W, et al. Comparison of percutaneous dilatational tracheostomy guided by ultrasound and bronchoscopy in critically ill obese patients[J]. J Ultrasound Med, 2018, 37(5): 1061-1069.
10 中国肺癌防治联盟, 中华医学会呼吸病学分会肺癌学组, 中国医师协会呼吸医师分会肺癌工作委员会. 肺癌筛查与管理中国专家共识[J]. 国际呼吸杂志, 2019, 39(21): 1604-1615.
11 中华医学会呼吸病学分会肺癌学组, 中国肺癌防治联盟专家组. 肺结节诊治中国专家共识( 2018 年版)[J]. 中华结核和呼吸杂志, 2018, 41(10): 763-771.
12 Zhou L, Zhang M, Li R, et al. Pseudoprogression and hyperprogression in lung cancer: a comprehensive review of literature[J]. J Cancer Res Clin Oncol, 2020, 146(12): 3269-3279.
13 Guan Y, Ren M, Guo D, et al.Research progress on lung cancer screening[J]. Zhongguo Fei Ai Za Zhi, 2020, 23(11): 954-960.
14 Amiri A, Pourhanifeh MH, Mirzaei HR, et al. Exosomes and lung cancer: roles in pathophysiology, diagnosis and therapeutic applications[J]. Curr Med Chem, 2021, 28(2): 308-328.
15 薛佩妮, 高 雪, 谭 维, 等. 导向鞘引导超声支气管镜肺活检术在外周肺结节诊断中的临床应用[J]. 延安大学学报(医学科学版), 2020, 18(3): 20-23.
16 Bar-Shai A, Brzezinski RY, Al Qaied A, et al. Computed tomography-guided lung biopsy: does a rural hospital do better[J]. Isr Med Assoc J, 2020, 22(12): 765-769.
17 Ito T, Matsumoto M, Kujime M, et al. Efficacy of endobronchial ultrasound-guided transbronchial biopsy without guide sheath for small peripheral pulmonary lesions(15 mm): A retrospective cohort study[J]. Clin Respir J, 2021, 15(6): 622-627.
18 付 鹏, 黄文婷, 龙 发, 等. Lung Point 虚拟导航辅助支气管镜检查在肺外周结节诊断中的应用[J]. 临床肺科杂志, 2020, 25(10): 1462-1466.
19 Kong F, Wang C, Li Y, et al. Advances in study of the sequence of lung tumor biopsy and thermal ablation[J]. Thorac Cancer, 2021, 12(3): 279-286.
20 孙 建, 李小燕, 任召强, 等. 虚拟导航技术引导经支气管肺活检对肺外周结节的诊断价值[J/CD]. 中华肺部疾病杂志(电子版), 2019, 12(1): 49-53.
21 Parigi M, Hui M, Uppin SG, et al. Percutaneous core needle biopsy in the diagnosis of lung lesions: an experience on 280 consecutive cases from a university hospital in southern India[J]. Lung India, 2021, 38(1): 41-52.
22 Azour L, Liu S, Washer SL, et al. Percutaneous transthoracic lung biopsy: optimizing yield and mitigating risk[J]. J Comput Assist Tomogr, 2021, 45(5): 765-775.
23 Goel MK, Kumar A, Maitra G, et al. Radial EBUS-guided cryobiopsy of peripheral lung lesions with flexible bronchoscopy without using guide-sheath[J]. J Bronchology Interv Pulmonol, 2021, 28(3): 184-191.
24 Ito T, Matsumoto M, Kujime M, et al. Efficacy of endobronchial ultrasound-guided transbronchial biopsy without guide sheath for small peripheral pulmonary lesions(15 mm): A retrospective cohort study[J]. Clin Respir J, 2021, 15(6): 622-627.
25 Shimoda M, Yamana K, Yano R, et al. Analysis of risk factors for the development of a post-bronchoscopy respiratory infection in lung cancer patients[J]. J Infect Chemother, 2021, 27(2): 237-242.
26 Furuya N, Matsumoto S, Kakinuma K, et al. Suitability of transbronchial brushing cytology specimens for next-generation sequencing in peripheral lung cancer[J]. Cancer Sci, 2021, 112(1): 380-387.
27 Hong KS, Jang JG, Ahn JH. Radial probe endobronchial ultrasound-guided transbronchial lung biopsy for the diagnosis of cavitary peripheral pulmonary lesions[J]. Thorac Cancer, 2021, 12(11): 1735-1742.

备注/Memo

备注/Memo:
基金项目: 廊坊市科技支撑计划项目(2018013079)
通信作者: 张 业, Email: 592807588@qq.com
更新日期/Last Update: 2021-12-20