ROSE联合EBUS-TBNA在肺及纵膈占位病变的诊断价值

Diagnostic value of ROSE combined with EBUS-TBNA in lung and mediastinal space occupying lesions

目的探讨ROSE联合EBUS-TBNA在肺及纵膈占位病变的诊断价值.方法选取2019年9月-2022年10月收治的62例肺及纵膈占位病变患者作为研究对象,各患者均经胸部CT检查显示存在肺及纵膈占位病变,其中31例接受ROSE联合EBUS-TBNA检查(观察组),另31例接受EBUS-TBNA诊断(对照组),对比分析检查结果.结果观察组4针率74.19%高于对照组的19.35%(P<0.05),观察组5针率25.81%低于对照组的80.65%(P<0.05);观察组有两例发生并发症(6.45%)与对照组11例发生并发症(35.48%)相比,差异有统计学意义(χ^(2)=7.8838,P<0.05);观察组操作时间(25.96±1.21)min短于对照组的(37.54±1.35)min,差异有统计学意义(P<0.05).观察组灵敏度93.10%、特异度50.00%、准确度93.55%高于对照组的78.57%、33.33%、80.65%(P<0.05).结论临床诊断肺及纵膈占位病变采用ROSE联合EBUS-TBNA检查,可减少中位穿刺针数,将检查过程中的创伤性降至最低,且联合检查的灵敏度、特异度、准确度均更高,更具应用价值.

Objective To investigate the diagnostic value of ROSE combined with EBUS-TBNA in lung and mediastinum space occupying lesions.Methods A total of 62 patients with lung and mediastinum spaceoccupying lesions admitted from September 2019 to October 2022 were selected as the study subjects.Chest CT examination of all patients showed the presence of lung and mediastinum spaceoccupying lesions.Among them,31 patients received ROSE combined EBUS-TBNA examination(observation group),and 31 patients received EBUS-TBNA diagnosis(control group).The results were compared and analyzed.Results The 4-needle rate of the observation group was 74.19%higher than that of the control group 19.35%(P<0.05),and the 5-needle rate of the comparison group was 25.81%lower than that of the control group 80.65%(P<0.05).Complications occurred in 2 patients in the observation group(6.45%)compared with 11 patients in the control group(35.48%),and the difference was statistically significant(χ^(2)=7.8838,P<0.05).The operation time of the observation group(25.96±1.21)min was shorter than that of the control group(37.54±1.35)min,and the difference was statistically significant(P<0.05).The sensitivity(93.10%),specificity(50.00%)and accuracy(93.55%)of observation group were higher than those of control group(78.57%,33.33%,80.65%)(P<0.05).Conclusions ROSE combined with EBUS-TBNA can reduce the number of median puncture needles and minimize the trauma during the examination,and the combined examination has higher sensitivity,specificity and accuracy,and has more application value in the clinical diagnosis of lung and mediastinum occupying lesions.