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经支气管冷冻肺活检二例
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- Author:
- No author available
- Journal Title:
- Chinese Journal of Tuberculosis and Respiratory Diseases
- Issue:
- 11
- DOI:
- 10.3760/cma.j.issn.1001-0939.2016.11.020
- Key Word:
- No keyword available
Abstract： 弥漫性肺疾病(diffuse lung disease,DLD)是呼吸科临床上比较难诊断的一类疾病,明确诊断一般需要通过组织病理学.目前获取组织标本的方法主要有经支气管钳夹活检(transbronchial forceps biopsy,TBFB)、经皮肺穿刺活检和外科肺活检(surgical lung biopsy,SLB).TBFB因其获取组织标本小,质量较差,难于满足病理需要,诊断效能低;经皮肺穿刺活检同样存在标本小常难满足病理需要的问题,且有发生气胸和血气胸的风险.SLB因创伤大,费用高,受心肺功能限制多,临床应用少.为了解决诊断DLD满意获取肺组织标本的问题,我们开展了2例DLD的经支气管冷冻肺活检(transbronchial cryobiopsy,TBCB),取得良好效果,报道如下.
- [1]Casoni, Gian Luca,Tomassetti, Sara,Cavazza, Alberto,etc.Transbronchial Lung Cryobiopsy in the Diagnosis of Fibrotic Interstitial Lung Diseases.[J].2014,9(2).
- [2]Babiak A,Hetzel J,Krishna G.Transbronchial cryobiopsy: a new tool for lung biopsies.[J].2009,78(2).
- [3]Shah,P.L.,Dobbertin,I.,Reichle,G.,etc.Cryobiopsy increases the diagnostic yield of endobronchial biopsy: A multicentre trial[J].2012,39(3).
- [4]Chun-Liang Chou,Chih-Wei Wang,Shu-Min Lin,etc.Role of Flexible Bronchoscopic Cryotechnology in Diagnosing Endobronchial Masses[J].2013,95(3).
- [5]Hagmeyer, Lars,Theegarten, Dirk,Wohlschlaeger, Jeremias,etc.The role of transbronchial cryobiopsy and surgical lung biopsy in the diagnostic algorithm of interstitial lung disease[J].2016,10(5).
- [6]Hetzel J,Babiak A,Moeller P,etc.Old meets modern: the use of traditional cryoprobes in the age of molecular biology.[J].2008,76(2).
- [7]Feller-Kopman,D.,Akulian,J.,Yarmus,L.,etc.Cryoprobe transbronchial lung biopsy in patients after lung transplantation a pilot safety study[J].2013,143(3).
- [8]Tomassetti, Sara,Wells, Athol U.,Costabel, Ulrich,etc.Bronchoscopic Lung Cryobiopsy Increases Diagnostic Confidence in the Multidisciplinary Diagnosis of Idiopathic Pulmonary Fibrosis[J].2016,193(7).
- [9]Schuhmann,M.,Bostanci,K.,Bugalho,A.,etc.Endobronchial ultrasound-guided cryobiopsies in peripheral pulmonary lesions: A feasibility study[J].2014,43(1).
- [10]Ganganah, Oormila,Guo, Shu Liang,Chiniah, Manu,etc.Efficacy and safety of cryobiopsy versus forceps biopsy for interstitial lung diseases and lung tumours: A systematic review and meta-analysis[J].2016,21(5).
- [11]Fruchter,O.,Fridel,L.,ElRaouf,B.A.,etc.Histological diagnosis of interstitial lung diseases by cryo-transbronchial biopsy[J].2014,19(5).
- [12]Hetzel J,Wibmer T,Hetzel M,etc.Cryoprobe biopsy increases the diagnostic yield in endobronchial tumor lesions.[J].2010,140(2).
- [13]Pajares,V.,Puzo,C.,Castillo,D.,etc.Diagnostic yield of transbronchial cryobiopsy in interstitial lung disease: A randomized trial[J].2014,19(6).
- [14]Sergej, Griff,Wim, Ammenwerth,Nicolas, Sch?nfeld,etc.Morphometrical analysis of transbronchial cryobiopsies.[J].2011,6.