随着高质量CT检查的广泛开展,越来越多的肺部小结节病变被检出。传统的经支气管肺活检(TBB)诊断恶性肺部结节的诊断率为14-63%,其受病变的大小、部位及内镜医师的经验影响。支气管超声探头的引导结合其他多种导航技术,如电磁导航、虚拟支气管镜等可以提高肺结节的诊断水平。虚拟影像术前规划(VFPP)是通过射线求和的方法...
For EBUS-GS-TBB, imaging of the peripheral pulmonary lesion was confirmed using a miniature ultrasound probe and samples were obtained by guide sheath kit. After confirmation of the ultrasound probe within the target lesion, biopsy forceps were performed at least twice. After EBUS-GS-TBB, a ...
目的:探讨经支气管超声引导鞘管(EBUS-GS)引导下经支气管肺活检术(TBLB)在肺外周病灶的临床应用价值。方法:2012年4月-2014年10月收治肺外周病灶患者34例,经内科保守治疗后病灶无吸收,所有患者均行EBUS-GS引导下TBLB及刷检术。结果:34例患者中,腺癌9例(26.5%),鳞状细胞癌6例(17.6%),小细胞癌5例(14.7%),大...
气管镜检查是诊断肺部病变的常用方法 ,但通过HRCT人工定位并凭经验盲取获得病理的阳性率较低,为提高气管镜获得肺外周病变病理的阳性率,临床上应用的方法有X线引导下的传统经支气管镜活检(TBB),经支气管超声导向鞘(EBUS-GS)引导下的TBB,虚拟支气管镜导航(VB... 孙金昊 - 中华医学会结核病学分会全国结核病学术大...
A total of 147 patients with peripheral pulmonary lesions (PPL) underwent radial EBUS-guided transbronchial biopsy (TBB) in between August 1, 2013, and August 31, 2014. We analyzed retrospectively radiological data, diagnostic work-up in everyday clinical settings, final diagnosis and complication ...