重庆医学2017，Vol.46Issue(16)：2164-2166,3.DOI:10.3969/j.issn.1671-8348.2017.16.002
径向超声、虚拟导航、超细支气管镜联合评价对肺外周结节的诊断价值
Diagnosti value of joint evaluation of radial ultrasound, virtual navigation and ultrathin bronchoscope in peripheral pulmonary nodules
摘要
Abstract
Objective To explore the diagnostic value of radial ultrasound (EBUS) combined with virtual navigation (VBN) in peripheral pulmonary nodules.Methods Two hundreds and forty cases of peripheral pulmonary nodules(0.8 cm≤diameter≤3 cm) in the respiratory department of our hospital from July 2014 to July 2015 were included and according to the different guide de vices,which were divided into the radial ultrasound combined with virtual navigation group (EBUS+ VBN group),radial ultrasound group (EBUS group),virtual navigation group (VBN group) and control group.The diagnostic rates were compared among the four groups and among different sizes of lesion.The time of lesion location and operating time were also compared between the EBUS+ VBN group and EBUS group.Results Among 240 cases,the diagnostic rate in the EBUS+VBN group was highest(81.67％),and the diagnostic rates had statistically significant difference among the four groups (x2=19.344,P=0.00);the diagnostic rates of lesions less than 2 cm in diameter were lower than that of lesions ＞2 cm in the EBUS+-VBN group and EBUS group,but without statistically significant difference (x2 =2.04,3.40,P =0.15,0.07);the locating lesions time and operating times in the EBUS+ VBN group were shorter than those in the EBUS group,but the difference between them was not statistically significant (P=0.03,0.04).Conclusion EBUS combined with VBN could improve the diagnostic rate of peripheral pulmonary nodules and shorten the time of lesion location and operating time.关键词
径向超声/虚拟导航/超细支气管镜/肺外周结节/诊断率Key words
radial ultrasound/virtual navigation/ultrathin bronchoscope/peripheral pulmonary nodules/diagnosis rate分类
医药卫生引用本文复制引用
房延凤,孙瑞琳,张红军,金发光,南岩东,王琰,傅恩清..径向超声、虚拟导航、超细支气管镜联合评价对肺外周结节的诊断价值[J].重庆医学,2017,46(16):2164-2166,3.基金项目
国家公益性行业科研专项(201402024) （201402024）
第四军医大学唐都医院面上项目(2015LCYJ005). （2015LCYJ005）
