导向鞘引导的超声内镜在300例肺周围病变诊断中的应用分析  

Analysis of diagnosis of peripheral pulmonary lesion in 300 patients with Endobronchial ultrasonography-guide sheath

作　　者：李王平[1] 马李杰[1] 潘蕾[1] 胡莺[1] 傅恩清[1] 穆德广[1] 王琰[1] 金发光[1] 

机构地区：[1]第四军医大学唐都医院呼吸内科,西安710038

出　　处：《中华肺部疾病杂志（电子版）》2015年第5期16-19,共4页Chinese Journal of Lung Diseases(Electronic Edition)

基　　金：国家公益性行业科研专项(201402024)

摘　　要：目的探讨超声探查技术即导向鞘引导的超声内镜（EBUS-GS）在肺外周病变中的诊断价值。方法回顾性分析第四军医大学唐都医院呼吸内科自2013年10月至2014年10月采用EBUS-GS诊断的300例肺外周病变患者的一般临床资料其中男性177例,女性123例,年龄28~78岁,中位年龄为60岁,组织病理学及出院时诊断结果和随访情况。结果通过诊断的300例患者中,EBUS-GS诊断肺周围恶性病变132例,诊断率为44.0%（132/300）,最终诊断恶性病变175例,恶性病变诊断符合率为75.4%（132/175）;诊断良性病变125例,诊断率为41.7%（125/300）,诊断不符合例数43例,误诊率为14.3%（43/300）,总诊断率85.7%（257/300）。结论 EBUS-GS探查后活检对肺周围病变的诊断的具有较高阳性率,值得临床推广。Objective To evaluate the value of Endobronchial ultrasonography-guide sheath（ EBUSGS） for diagnosing peripheral pulmonary lesions. Methods The clinical information including pathology,final diagnosis and follow-up of 300 patients suffered from peripheral pulmonary lesions diagnosed by EBUS-GS was analyzed retrospectively from October 2013 to October 2014 and 177 male,123 female,age 28-78,the median age of 60. Results Among the 300 patients,the malignant diseases diagnosed by EBUS-GS were 132 cases who accounted for 44%（ 132 /300）. The final diagnosis which were malignant diseases were 175 cases. A total of 75. 4%（ 132 /175） of patients diagnosed by EBUS-GS were in agreement with the final diagnosis. The benign diseases were 125 cases who accounted for 41. 7%（ 125 /300）. A total of 43 cases diagnosed by EBUS-GS were not in agreement with final diagnosis. The misdiagnosis rate was 14. 3%（ 43 /300）,and the total diagnosis rate was 85. 7%（ 257 /300）. Conclusions The positive rate of diagnosing peripheral pulmonary lesions with EBUS-GS was high,so it is worthy to be uses widely.

关 键 词：气道内超声探查技术 诊断 肺周围病变 

分 类 号：R734.2[医药卫生—肿瘤]