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虚拟支气管镜导航在肺周围型病变中的诊断价值

房延凤 金发光 孙瑞琳 薄利艳

中国内镜杂志2017,Vol.23Issue(4):14-17,4.
中国内镜杂志2017,Vol.23Issue(4):14-17,4.DOI:10.3969/j.issn.1007-1989.2017.04.003

虚拟支气管镜导航在肺周围型病变中的诊断价值

Diagnostic value of VBN for peripheral pulmonary lesions

房延凤 1金发光 1孙瑞琳 1薄利艳1

作者信息

  • 1. 第四军医大学唐都医院 呼吸与危重症医学科,陕西 西安 710038
  • 折叠

摘要

Abstract

Objective To explore the diagnostic value of virtual bronchoscopic navigation (VBN) for peripheral pulmonary lesions. Methods 200 cases with peripheral pulmonary lesions (0.8 cm < diameter < 4.0 cm) were divided into VBN and control group from June 2014 to June 2015. VBN group: VBN guided ultrafine bronchoscope to the target bronchus, control group: ultrafine bronchoscopy with chest CT as a reference guided to the target bronchus. Results There were no significant differences in the diagnosis rates between VBN group and control group in 200 patients (χ2 = 3.31, P = 0.069); But, the diagnosis rates with diameter more than 2.0 cm and less than or equal to 2.0 cm had statistically significant differences of VBN group and control group (χ2 = 13.45, 5.31, P = 0.000, 0.021, respectively); We also found that the mean time of biopsy tool reach to the lesions had significant differences between the two groups (P = 0.047). There were no significant differences in total checking time and complications (P = 0.230, 0.960, respectively). Conclusions Virtual bronchoscopic navigation did not improve the diagnosis rate of pulmonary peripheral lesions, but shortened the time to locate the lesions.

关键词

虚拟支气管镜导航/肺周围型病变/诊断率

Key words

virtual bronchoscopic navigation/peripheral pulmonary lesions/diagnosis rate

分类

医药卫生

引用本文复制引用

房延凤,金发光,孙瑞琳,薄利艳..虚拟支气管镜导航在肺周围型病变中的诊断价值[J].中国内镜杂志,2017,23(4):14-17,4.

基金项目

国家公益性行业科研专项(No :201402024) (No :201402024)

第四军医大学唐都医院面上项目(No :2015LCYJ005) (No :2015LCYJ005)

中国内镜杂志

OACSTPCD

1007-1989

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