Background: Electromagnetic navigation bronchoscopy (ENB) has become the latest minimally invasive diagnostic and therapeutic technique due to its characteristics, e.g., non-invasion, accuracy, real-time positioning. In this study, we investigated the application of ENB biopsy combined with Massage staining in the diagnosis and treatment of peripheral pulmonary lesions (PPL).
Methods: The clinical data of 15 PPL patients undergoing ENB biopsy plus Massage staining between August 2017 and January 2018 were retrospectively reviewed. Among them, there were 12 male and 3 female, and the mean age was (51.3±2.1) years old.
Results: The diameter of PPLs ranged from 6 mm to 36 mm (mean: 14.0 mm). The successful biopsy rate was 66.7%. All patients successfully underwent Massage staining. The distance between the centers of staining and lesion was (1.0±0.4) cm, and the diameter of staining was (2.8±0.6) cm. The mean operation time was (26.7±5.3 ) min, and the mean blood loss during surgery was (3.3±1.5) mL. There was no pneumothorax, hemothorax and pulmonary vascular injury during the procedure.
Conclusions: The ENB biopsy plus Massage staining technique caused very few complications, and provided high precision, which warrants further application.
【中文题目：电磁导航支气管镜活检联合Massage染色 定位在肺疾病诊疗中的应用】 【中文摘要：背景与目的 电磁导航支气管镜（electromagnetic navigation bronchoscope, ENB）因无创、准确、实时等特点，是目前最新的微创诊疗技术。本研究探讨ENB活检联合一种新颖的Massage染色定位技术在肺周围型病变（peripheral pulmonary lesion, PPL）诊治中的应用。方法 回顾分析陆军军医大学大坪医院胸外科2017年8月-2018年1月施行ENB活检联合Massage染色定位的15例PPL患者的临床资料。其中，男性12例、女性3例，年龄（51.3±2.1）岁。结果 15例PPL直径6 mm-36 mm，平均14.0 mm。活检成功率66.7%。15例均成功行Massage染色定位。染色部位中心距离病灶中心（1.0±0.4）cm，染色扩散直径（2.8±0.6）cm。操作时间为（26.7±5.3）min，术中失血量（3.3±1.5）mL。操作过程中无气胸、大出血及气管损伤。结论 该技术损伤小、并发症率低、精度高、一站式完成诊断及定位，值得推广。 】 【中文关键词：电磁导航支气管镜；活检；肺周围型病变；定位】.
Keywords: Biopsy; Electromagnetic navigation bronchoscopy; Location; Peripheral pulmonary lesion.