经支气管超声下引导鞘管引导下经支气管肺活检术对肺外周病变定性诊断的价值

Qualitative diagnostic value of transbronchial lung biopsy under the guidance of transbronchial ultrasound guided sheath for the peripheral lung disease

目的探讨经支气管超声下引导鞘管引导下经支气管肺活检术(EBUS-GS-TBLB)对肺外周病变的定性诊断价值。方法选取高州市人民医院2018年1月至2019年8月肺外周病变患者64例,使用骰子分组法将其分成传统组及研究组,每组32例,分别接受经纤支镜的肺活检术(TBLB)检查、BUS-GS-TBLB检查。比较两组诊断肺外周病变的阳性情况、与病理结果的一致性及并发症。结果研究组诊断肺外周病变直径Kappa值大于传统组(P <0. 05)。研究组诊断外周病变疾病恶性阳性率高于传统组(P <0. 05),良性阳性率高于传统组(P>0. 05)。研究组小细胞癌、非小细胞癌、转移癌、肺炎、肺结核的Kappa值大于传统组(P <0. 05)。研究组患者并发症率低于传统组(P <0. 05)。结论 EBUS-GS-TBLB检查能明确肺外周病变良恶性,明确病变类型,建议使用。

Objective To analyze the diagnostic value of transbronchial lung biopsy( EBUS-GSTBLB) under the guidance of transbronchial ultrasound guided sheath for the qualitative diagnosis of peripheral lung disease. Methods Sixty-four patients with peripheral lung disease in Gaozhou People’s Hospital from January 2018 to August 2019 were selected and divided into the traditional group and the study group using the dice grouping method,with 32 cases in each group. The patients received TBLB examination,BUS-GS-TBLB inspection. The consistency, positive results and complications of the diagnosis of peripheral pulmonary disease and pathological results were compared between the two groups.Results The diameter of Kappa in the diagnosis of peripheral lung lesions in the study group was larger than that in the traditional group( P < 0. 05). The positive rate of diagnosis of peripheral disease in the study group was higher than that of the traditional group( P < 0. 05),and the benign positive rate was higher than that of the traditional group( P > 0. 05). The Kappa values of small cell carcinoma,non-small cell carcinoma,metastatic cancer,pneumonia,and tuberculosis in the study group were greater than those in the traditional group( P < 0. 05). The complication rate of patients in the study group was lower than that in the traditional group( P < 0. 05). Conclusions The EBUS-GS-TBLB test can clarify the benign and malignant lung peripheral lesions,identify the types of lesions,and improve the diagnostic value. It is recommended to use it.