Journal of Tuberculosis and Lung Disease ›› 2021, Vol. 2 ›› Issue (3): 205-209.doi: 10.3969/j.issn.2096-8493.20210038
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ZHANG Qun-cheng, LI Xiang-nan, XU Zhi-wei, SUN Guan-nan, YANG Hui-zhen, CHENG Dong-jun, ZHANG Xiao-ju()
Received:
2021-05-12
Online:
2021-09-30
Published:
2021-09-24
Contact:
ZHANG Xiao-ju
E-mail:15038142486@163.com
ZHANG Qun-cheng, LI Xiang-nan, XU Zhi-wei, SUN Guan-nan, YANG Hui-zhen, CHENG Dong-jun, ZHANG Xiao-ju. Diagnostic value of bronchoscopic cryobiopsy for diagnosing peripheral lung nodule[J]. Journal of Tuberculosis and Lung Disease , 2021, 2(3): 205-209. doi: 10.3969/j.issn.2096-8493.20210038
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临床特征 | 常规活检钳组(50例) | 冷冻肺活检组(47例) | 统计检验值 | P值 |
---|---|---|---|---|
年龄(岁, | 66.5±10.2 | 65.8±7.9 | t=0.376 | 0.354 |
性别[例(构成比,%)] | χ2=0.006 | 0.936 | ||
男性 | 27(54.0) | 25(53.2) | ||
女性 | 23(46.0) | 22(46.8) | ||
吸烟[例(构成比,%)] | χ2=0.485 | 0.486 | ||
是 | 28(56.0) | 23(48.9) | ||
否 | 22(44.0) | 24(51.1) | ||
结节大小(mm, | 21.2±8.5 | 22.3±9.1 | t=0.616 | 0.540 |
结节中心距离胸膜的距离(mm, | 25.2±14.6 | 24.6±11.2 | t=0.226 | 0.822 |
结节的位置[例(构成比,%)] | χ2=3.429 | 0.634 | ||
右肺上叶 | 15(30.0) | 11(23.4) | ||
右肺中叶 | 4(8.0) | 2(4.3) | ||
右肺下叶 | 8(16.0) | 13(27.6) | ||
左肺上叶 | 8(16.0) | 5(10.6) | ||
左肺舌叶 | 3(6.0) | 2(4.3) | ||
左肺下叶 | 12(24.0) | 14(29.8) |
分类 | 常规活检钳组 | 冷冻肺活检组 | χ2值 | P值 |
---|---|---|---|---|
总诊断 | 70.0(35/50) | 87.2(41/47) | 4.240 | 0.039 |
超声探头位置 | ||||
结节内部 | 93.5(29/31) | 93.1(27/29) | 0.005 | 0.945 |
临近结节 | 33.3(5/15) | 76.9(10/13) | 5.320 | 0.021 |
结节之外 | 1/4 | 1/5 | 0.667 | 0.414 |
结节的性质 | ||||
实性结节 | 76.7(33/43) | 92.1(35/38) | 32.750 | <0.001 |
磨玻璃结节 | 2/7 | 6/9 | 1.016 | 0.313 |
结节大小(mm) | ||||
10~19 | 25.0(3/12) | 5/8 | 1.467 | 0.226 |
20~30 | 84.2(32/38) | 89.7(35/39) | 0.147 | 0.702 |
结节中心距离胸膜的距离(mm) | ||||
<20 | 44.4(8/18) | 64.3(9/14) | 1.245 | 0.265 |
>20 | 84.4(27/32) | 93.9(31/33) | 0.711 | 0.399 |
取材满意率a | 56.0(28/50) | 87.2(41/47) | 11.510 | <0.001 |
最终诊断 | ||||
恶性肿瘤 | 83.3(35/42) | 89.7(35/39) | 3.023 | 0.082 |
良性疾病 | 4/8 | 5/8 | 15.320 | <0.001 |
并发症 | ||||
出血 | 10.0(5/50) | 27.7(13/47) | 4.999 | 0.025 |
气胸 | 2.0(1/50) | 2.1(1/47) | 0.450 | 0.502 |
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