径向超声非实时引导下经支气管镜肺活检对周围型肺癌患者的诊断作用分析  

Diagnostic Role of Endobroncheal Ultrasonography Non-real-time Guided Trans Bronchoscope Lung Biopsy in Patients with Peripheral Lung Cancer

作　　者：陈相 陈丽秀[1] CHEN Xiang;CHEN Lixiu(Department of Respiratory and Critical Care Medicine,Zhangjiagang First People's Hospital,Zhangjiagang,Jiangsu Province,215600 China)

机构地区：[1]江苏省苏州张家港市第一人民医院呼吸与危重症学科,江苏张家港215600

出　　处：《世界复合医学》2023年第9期57-59,共3页World Journal of Complex Medicine

摘　　要：目的探讨径向超声非实时引导下经支气管镜肺活检对周围型肺癌患者的诊断作用。方法选择2019年1月—2022年12月张家港市第一人民医院收治的疑似周围型肺癌患者80例为研究对象,所有患者均接受径向超声(endobroncheal ultrasonography,EBUS)检查工作,取局部组织开展病灶活检工作。将手术病理诊断结果作为金标准,对EBUS非实时引导下经支气管镜肺活检(trans bronchoscope lung biopsy,TBLB)的准确性、敏感性和特异度展开分析。结果将手术病理检查结果作为金标准,EBUS非实时引导下TBLB的准确性、敏感度和特异度分别为91.25%、94.00%、86.67%,且该诊断方式Kappa值为0.815(P<0.05)。结论对周围型肺癌患者,采取径向超声非实时引导下经支气管镜肺活检,诊断率较高,临床应用价值较高。Objective To investigate the diagnostic effect of endobroncheal ultrasonography non-real-time guided trans bronchoscope lung biopsy in patients with peripheral lung cancer.Methods 80 patients with suspected peripheral lung cancer were selected from Zhangjiagang First People's Hospital from January 2019 to December 2022 were selected as the study objects.All patients underwent endobroncheal ultrasonography endobroncheal ultrasonography(EBUS)and local tissue biopsy was performed.The accuracy,sensitivity and specificity of EBUS non-real-time guided trans bronchoscope lung biopsy TBLB were analyzed using the results of surgical pathologic diagnosis as the gold standard.Results Using surgical pathological examination results as the gold standard,the accuracy,sensitivity,and specificity of non real-time guided TBLB guided by EBUS were 91.25%,94.00%,and 86.67%,respectively.The Kappa value of this diagnostic method was 0.815(P<0.05).Conclusion For patients with peripheral lung cancer,endobroncheal ultrasonography non-real-time guided trans bronchoscope lung biopsy has high diagnostic rate and high clinical application value.

关 键 词：周围型肺癌 径向超声非实时引导 经支气管镜肺活检 诊断率 并发症 

分 类 号：R734[医药卫生—肿瘤]