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
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)