手绘导航联合径向超声在肺外周病变诊断中的应用  

Application of radial endobronchial ultrasound bronchoscopy guided by manual navigation in the diagnosis of peripheral pulmonary lesions

作　　者：秦厚应 李梦蝶 QIN Houying;LI Mengdie(Department of Respiratory and Critical Care Medicine,the Second Affiliated Hospital of Anhui Medical University,Hefei,Anhui 230601,China)

机构地区：[1]安徽医科大学第二附属医院呼吸与危重症医学科,安徽合肥230601

出　　处：《临床肺科杂志》2025年第1期7-12,共6页Journal of Clinical Pulmonary Medicine

基　　金：国家自然科学基金(No.82270071)。

摘　　要：目的 探讨手绘导航联合径向超声在肺外周病变诊断中的有效性和安全性。方法 选取2022年1月至2024年5月于安徽医科大学第二附属医院经手绘导航联合径向超声诊断的肺外周病变患者作为研究对象,通过回顾性分析病例资料,探究手绘导航联合径向超声对于肺外周病变的诊断效率及安全性。结果 共纳入110例肺外周病变患者,经手绘导航联合径向超声病灶探及率为100%,其中72例恶性病变,经手绘导航联合径向超声确诊55例,恶性疾病的诊断率为76.39%,炎症性病变36例,经手绘导航联合径向超声确诊24例,炎症性疾病的诊断率66.67%,随访仍未明确病变2例,活检联合刷检可以提高诊断率。110例患者中6例出现中度出血,1例出现气胸。结论 手绘导航联合径向超声在肺外周病变中的诊断率较高,安全性较好。Objective To investigate the efficacy and safety of radial endobronchial ultrasound bronchoscopy(R-EBUS)guided by manual navigation(MN)in the diagnosis of peripheral pulmonary lesions(PPLs).Methods Patients with PPLs diagnosed by MN-R-EBUS in the Second Affiliated Hospital of Anhui Medical University from January 2022 to May 2024 were selected as the research objects.The clinical data were retrospectively analyzed to explore the diagnostic efficiency and safety of MN-R-EBUS for PPLs. Results A total of 110 patients with PPLs were enrolled, and the lesion detection rate was 100% by hand-drawn navigation combined with radial ultrasound. Among them, 55 patients with malignant lesions were confirmed by hand-drawn navigation combined with radial ultrasound in 72 cases, and the diagnosis rate of malignant diseases was 76.39%. 24 patients with inflammatory lesions were confirmed by hand-drawn navigation combined with radial ultrasound in 36 cases. The diagnosis rate of inflammatory diseases was 66.67%. Two patients still have unclear lesions after follow-up. Among the 110 patients, 6 patients had moderate bleeding and 1 patient had pneumothorax. Conclusion Manual navigation combined with radial endobronchial ultrasound bronchoscopy has a high diagnostic rate and good safety in peripheral pulmonary lesions.

关 键 词：手绘导航 径向超声 肺外周病变 

分 类 号：R445.1[医药卫生—影像医学与核医学] R563[医药卫生—诊断学]