国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2014年
16期
2442-2445
,共4页
数字减影%经支气管镜肺活检%肺部周围型病变
數字減影%經支氣管鏡肺活檢%肺部週圍型病變
수자감영%경지기관경폐활검%폐부주위형병변
Digital subtraction%Transbronchial lung biopsy%Peripheral pulmonary lesions
目的 探讨数字减影(DSA)定位下经支气管镜肺活检(TBLB)对肺部周围型病变的诊断价值.方法 选择2009年11月至2013年12月期间的86例肺部周围病变的患者,平均分为A组和B组,A组患者在DSA的定位下进行经支气管镜肺活检,同时进行纤支镜刷片和支气管肺泡灌洗,B组患者在CT定位下进行经皮穿刺肺活检,对比A组三种方法诊断结果的阳性率、PCNA与TBLB、BB、BAL比较的诊断结果的阳性率,以及两组患者在治疗后并发症发生情况.结果 TBLB、BB、BAL三种方法两两比较x 2分别为0.84、0.54、0.16,差异无统计学意义(P＞0.05);PCNA与TBLB、BB、BAL三种方法对比x 2值分别为0.12、0.06、0.22,差异无统计学意义(P＞0.05);但是TBLB联合BB、BAL检查诊断结果阳性率为83.72％(36/43),明显高于PCNA诊断的阳性率69.77％(30/43),差异具有统计学意义(P＜0.05).A组并发症发生率(13.95％)显著低于B组患者(30.23％),差异具有统计学意义(P＜0.05).结论 TBLB、BB、BAL、PNCA均对肺部周围病变有较高的诊断价值,TBLB后常规进行BB和BAL能提高诊断结果的阳性率,并且DSA定位下能够降低并发症的发生.
目的 探討數字減影(DSA)定位下經支氣管鏡肺活檢(TBLB)對肺部週圍型病變的診斷價值.方法 選擇2009年11月至2013年12月期間的86例肺部週圍病變的患者,平均分為A組和B組,A組患者在DSA的定位下進行經支氣管鏡肺活檢,同時進行纖支鏡刷片和支氣管肺泡灌洗,B組患者在CT定位下進行經皮穿刺肺活檢,對比A組三種方法診斷結果的暘性率、PCNA與TBLB、BB、BAL比較的診斷結果的暘性率,以及兩組患者在治療後併髮癥髮生情況.結果 TBLB、BB、BAL三種方法兩兩比較x 2分彆為0.84、0.54、0.16,差異無統計學意義(P＞0.05);PCNA與TBLB、BB、BAL三種方法對比x 2值分彆為0.12、0.06、0.22,差異無統計學意義(P＞0.05);但是TBLB聯閤BB、BAL檢查診斷結果暘性率為83.72％(36/43),明顯高于PCNA診斷的暘性率69.77％(30/43),差異具有統計學意義(P＜0.05).A組併髮癥髮生率(13.95％)顯著低于B組患者(30.23％),差異具有統計學意義(P＜0.05).結論 TBLB、BB、BAL、PNCA均對肺部週圍病變有較高的診斷價值,TBLB後常規進行BB和BAL能提高診斷結果的暘性率,併且DSA定位下能夠降低併髮癥的髮生.
목적 탐토수자감영(DSA)정위하경지기관경폐활검(TBLB)대폐부주위형병변적진단개치.방법 선택2009년11월지2013년12월기간적86례폐부주위병변적환자,평균분위A조화B조,A조환자재DSA적정위하진행경지기관경폐활검,동시진행섬지경쇄편화지기관폐포관세,B조환자재CT정위하진행경피천자폐활검,대비A조삼충방법진단결과적양성솔、PCNA여TBLB、BB、BAL비교적진단결과적양성솔,이급량조환자재치료후병발증발생정황.결과 TBLB、BB、BAL삼충방법량량비교x 2분별위0.84、0.54、0.16,차이무통계학의의(P＞0.05);PCNA여TBLB、BB、BAL삼충방법대비x 2치분별위0.12、0.06、0.22,차이무통계학의의(P＞0.05);단시TBLB연합BB、BAL검사진단결과양성솔위83.72％(36/43),명현고우PCNA진단적양성솔69.77％(30/43),차이구유통계학의의(P＜0.05).A조병발증발생솔(13.95％)현저저우B조환자(30.23％),차이구유통계학의의(P＜0.05).결론 TBLB、BB、BAL、PNCA균대폐부주위병변유교고적진단개치,TBLB후상규진행BB화BAL능제고진단결과적양성솔,병차DSA정위하능구강저병발증적발생.
Objective To explore the diagnostic value of transbronchial lung biopsy (TBLB) under digital subtraction (DSA) positioning in peripheral pulmonary lesions.Methods From November 2009 to December 2013,86 patients with peripheral pulmonary lesions were divided into group A and group B.Group A underwent transbronchial lung biopsy under DSA location,bronchoscopy brush (BB) and bronchoalveolar lavage (BAL),while group B underwent percutaneous lung biopsy under CT positioning.The positive rate of diagnosis results,the positive rate of group A than in the three methods of PCNA and TBLB,the diagnostic results of BB compared to BAL,and complications of two groups after the treatment were compared.Results There were no statistically significant differences in positive rate between any two of TBLB,BB,BAL (x2=0.84,0.54,0.16; P ＞ 0.05).There were no statistically significant differences in positive rate between PCNA and any one of TBLB,BB,BAL (x2=0.12,0.06,0.22; P ＞ 0.05).The positive rate of the combination of TBLB,BB and BAL was 83.72％ (36/43),significantly higher than 69.77％ (30/43) of PCNA,with statistically significant difference (P ＜ 0.05).The complication rate in group A was significantly lower than that in group B (13.95％ vs.30.23％),with statistically significant difference (P ＜ 0.05).Conclusion TBLB,BB,BAL,PNCA all have a high value in the diagnosis of peripheral pulmonary lesions.BB,BAL after TBLB can improve the positive rate of diagnosis,at the same time DSA positioning can significantly reduce the incidence of complications.
