中国内镜杂志2025，Vol.31Issue(5)：72-79,8.DOI:10.12235/E20240368
手绘导航技术对经支气管镜腔内超声肺外周病变确诊率的影响
Improvements in diagnosing peripheral lung lesions with a hand-drawn bronchial map by endobronchial ultrasonography
摘要
Abstract
Objective To evaluate whether the hand-drawn bronchial map can increase the endobronchial ultrasonography(EBUS)detection rate and the diagnosis rate for peripheral lung lesions.Methods We retrospectively analyzed 105 patients and divided them into hand-drawn navigation-EBUS group(n=71)and traditional navigation-EBUS group(n=34)according to different navigation methods.Collect case data on age,gender,lesion imaging characteristics(density,location,presence or absence of bronchial inflation sign),biopsy frequency,and final diagnosis from two groups of patients,and analyze the EBUS arrival rate,diagnosis rate,and influencing factors.Results Compared to that in the traditional navigation-EBUS group,the EBUS detection rate in the hand-drawn navigation-EBUS group was significantly higher.When lesions were>20 mm and≤30 mm,the diagnosis rate in the hand-drawn navigation-EBUS group was significantly higher than that in the traditional navigation-EBUS group.Multivariate Logistic regression analysis showed that lesions>20 mm(P=0.042)and bronchial generation of lesions≤5th generation(P=0.005)were favorable factors affecting the diagnosis rate of hand-drawn navigation-EBUS.Conclusion A hand-drawn bronchial map greatly increases the EBUS detection rate and diagnostic yield of bronchoscopy for peripheral lung lesions.关键词
手绘导航/肺外周病变/EBUS到达率/EBUS确诊率Key words
hand-drawn bronchial map/peripheral lung lesions/endobronchial ultrasonography(EBUS)detection rate/EBUS diagnostic rate分类
临床医学引用本文复制引用
邬盛昌,倪飞华,段婷,邵方淳..手绘导航技术对经支气管镜腔内超声肺外周病变确诊率的影响[J].中国内镜杂志,2025,31(5):72-79,8.基金项目
浙江省基础公益研究计划项目(No:LGF20H010008) （No:LGF20H010008）
