电磁导航支气管镜活检联合Massage染色定位在肺疾病诊疗中的应用  

Application of Electromagnetic Navigation Bronchoscopic Biopsy Combined with Massage Staining in Diagnosis and Treatment of Peripheral Pulmonary Lesion

作　　者：钱凯[1] 冯涌耕 王如文[1] 邓波[1] 谭群友[1] Kai QIAN;Yonggeng FENG;Ruwen WANG;Bo DENG;Qunyou TAN(Department of Thoracic Surgery,Institute of Surgery Research,Daping Hospital,Army Medical University,Chongqing 400042,China)

机构地区：[1]陆军军医大学大坪医院(野战外科研究所)全军胸外科中心,重庆400042

出　　处：《中国肺癌杂志》2019年第1期15-19,共5页Chinese Journal of Lung Cancer

摘　　要：背景与目的电磁导航支气管镜(electromagnetic navigation bronchoscope, ENB)因无创、准确、实时等特点,是目前最新的微创诊疗技术。本研究探讨ENB活检联合一种新颖的Massage染色定位技术在肺周围型病变(peripheral pulmonary lesion, PPL)诊治中的应用。方法回顾分析陆军军医大学大坪医院胸外科2017年8月-2018年1月施行ENB活检联合Massage染色定位的15例PPL患者的临床资料。其中,男性12例、女性3例,年龄(51.3±2.1)岁。结果 15例PPL直径6 mm-36 mm,平均14.0 mm。活检成功率66.7%。15例均成功行Massage染色定位。染色部位中心距离病灶中心(1.0±0.4)cm,染色扩散直径(2.8±0.6)cm。操作时间为(26.7±5.3)min,术中失血量(3.3±1.5)mL。操作过程中无气胸、大出血及气管损伤。结论该技术损伤小、并发症率低、精度高、一站式完成诊断及定位,值得推广。Background and objective Electromagnetic navigation bronchoscopy(ENB) has become the latest minimally invasive diagnostic and therapeutic technique due to its characteristics, e.g., non-invasion, accuracy, real-time positioning. In this study, we investigated the application of ENB biopsy combined with Massage staining in the diagnosis and treatment of peripheral pulmonary lesions(PPL). Methods The clinical data of 15 PPL patients undergoing ENB biopsy plus Massage staining between August 2017 and January 2018 were retrospectively reviewed. Among them, there were 12 male and 3 female, and the mean age was(51.3±2.1) years old. Results The diameter of PPLs ranged from 6 mm to 36 mm(mean: 14.0 mm). The successful biopsy rate was 66.7%. All patients successfully underwent Massage staining. The distance between the centers of staining and lesion was(1.0±0.4) cm, and the diameter of staining was(2.8±0.6) cm. The mean operation time was(26.7±5.3) min, and the mean blood loss during surgery was(3.3±1.5) mL. There was no pneumothorax, hemothorax and pulmonary vascular injury during the procedure. Conclusion The ENB biopsy plus Massage staining technique caused very few complications, and provided high precision, which warrants further application.

关 键 词：电磁导航支气管镜 活检 肺周围型病变 定位 

分 类 号：R563[医药卫生—呼吸系统]