Safety Management Committee, Japan Society for Respiratory Endoscopy, Tokyo, Japan.
Respirology. 2012 Apr;17(3):478-85. doi: 10.1111/j.1440-1843.2011.02123.x.
In order to survey the current status of the use and complications associated with respiratory endoscopy, the Japan Society for Respiratory Endoscopy conducted a nationwide postal questionnaire survey.
The survey was mailed to all 538 facilities certified by the society. The subjects were patients who underwent respiratory endoscopy in 2010. The numbers of procedures, and associated complications and deaths were investigated according to lesion and procedure using a specific inventory.
The inventory was completed by 483 facilities (89.8%). The total number of diagnostic flexible bronchoscopy procedures performed was 103 978, and four patients died (0.004%). The complication rate according to lesion ranged from 0.51% to 2.06%, with the highest rate being observed in patients with diffuse lesions. The complication rate according to procedure ranged from 0.17% to 1.93%, with the highest rate being observed in patients who underwent forceps biopsy. The complication rate after forceps biopsy of solitary peripheral pulmonary lesions was 1.79% (haemorrhage: 0.73%, pneumothorax: 0.63%), and that after endobronchial ultrasound-guided transbronchial needle aspiration of hilar and/or mediastinal lymph node lesions was 0.46%. Therapeutic bronchoscopy was performed in 3020 patients; one patient (0.03%) died due to haemorrhage induced by insertion of an expandable metallic stent. The complication rate according to procedure was highest for foreign body removal (2.2%). Medical pleuroscopy was performed in 1563 patients. The highest complication rate was for biopsy without electrocautery (1.86%). A total of 228 facilities (47.2%) experienced breakage of bronchoscopes and/or devices.
Respiratory endoscopy was performed safely, but education regarding complications caused by new techniques is necessary.
为了调查呼吸内镜使用现状及其相关并发症，日本呼吸内镜学会进行了一项全国范围的邮寄问卷调查。
该调查寄给了学会认证的所有 538 家机构。研究对象为 2010 年接受呼吸内镜检查的患者。根据病变和操作，使用特定的清单调查了操作数量以及相关并发症和死亡。
483 家机构（89.8%）完成了清单。共完成诊断性软式支气管镜检查 103978 例，4 例患者死亡（0.004%）。根据病变，并发症发生率为 0.51%至 2.06%，弥漫性病变患者发生率最高。根据操作，并发症发生率为 0.17%至 1.93%，活检患者发生率最高。经支气管镜肺外周孤立性病变活检后，并发症发生率为 1.79%（出血：0.73%，气胸：0.63%），经支气管镜超声引导下经支气管针吸活检肺门和/或纵隔淋巴结病变后并发症发生率为 0.46%。3020 例患者进行了治疗性支气管镜检查，1 例（0.03%）患者因扩张金属支架置入引起的出血而死亡。操作相关并发症发生率最高的是异物取出（2.2%）。1563 例患者进行了内科胸腔镜检查，活检未行电灼术的并发症发生率最高（1.86%）。228 家机构（47.2%）发生支气管镜和/或器械破损。
呼吸内镜检查安全进行，但需要教育新操作技术引起的并发症。
