摘要
目的 探讨虚拟支气管镜导航(VBN)在周围性肺部病变检查中的应用价值。方法 选取2022年5月至2023年6月河北北方学院附属第一医院收治的周围性肺部病变患者80例为研究对象,基于病变活检方法不同,将其分为单纯超声支气管镜组(NVBN组,40例),VBN联合超声支气管镜组(VBN组,40例)。以病理结果为金标准,比较两组的诊断准确率、病变到达率、开始活检时间、操作总时间及并发症的发生情况。结果 VBN组诊断总准确率高于NVBN组,差异有统计学意义(P<0.05)。VBN组病变到达率高于NVBN组,开始活检时间、操作总时间短于NVBN组,差异有统计学意义(P<0.05)。两组并发症总发生率比较,差异无统计学意义(P>0.05)。结论 VBN可提高周围性肺部病变的诊断准确率,缩短了操作时间、安全性高,值得临床推广应用。
Objective To explore the application value of virtual bronchoscopic navigation(VBN) in peripheral pulmonary disease examination.Methods A total of 80 patients with peripheral pulmonary disease admitted to the First Affiliated Hospital of Hebei North University from May 2022 to June 2023 were selected as the research subjects.Based on different biopsy methods,they were divided into simple ultrasound bronchoscopy group(NVBN group,40 cases),VBN combined with ultrasound bronchoscopy group(VBN group,40 cases).With pathological results as the gold standard,the diagnostic accuracy,arrival rate of disease,the time to start biopsy,the total time of operation,and complications of two groups were compared.Results The total diagnostic accuracy of VBN group was higher than that of NVBN group,and the difference was statistically significant(P<0.05).The arrival rate of disease in VBN group was higher than that in NVBN group,and the time to start biopsy,and the total time of operation were shorter than those in NVBN group,and the differences were statistically significant(P<0.05).There was no significant difference in the total incidence of complications between two groups(P>0.05).Conclusion VBN can improve the diagnostic accuracy of peripheral pulmonary disease,shorten the operation time,and have high safety,which is worthy of clinical application.
作者
陈丽萍
项保利
赵建清
王布
郭志青
姬泽萱
CHEN Liping;XIANG Baoli;ZHAO Jianqing;WANG Bu;GUO Zhiqing;JI Zexuan(Department of Respiratory and Critical Care Medicine,the First Affiliated Hospital of Hebei North University,Hebei Province,Zhangjiakou 075000,China)
出处
《中国医药导报》
CAS
2024年第4期104-107,共4页
China Medical Herald
基金
河北省医学适用技术跟踪项目(GZ2022067)。
关键词
虚拟支气管镜导航
周围性肺部病变
诊断率
并发症
Virtual bronchoscopic navigation
Peripheral pulmonary disease
Diagnosis rate
Complication
