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经支气管肺冷冻活检在间质性肺疾病诊断中的应用

Transbronchial lung cryobiopsy in the diagnosis of interstitial lung disease.

作者信息

Keenan Joseph, Backer Elliot, Gibson Heidi, Cho Roy, Dinçer H Erhan

机构信息

Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, Minnesota University, Minnesota, USA.

Division of Cardiopulmonary Services, Minnesota University, Minnesota, USA.

出版信息

Tuberk Toraks. 2019 Dec;67(4):300-306. doi: 10.5578/tt.69078.

DOI:10.5578/tt.69078
PMID:32050872
Abstract

Transbronchial cryoprobe lung biopsy (TBCLB) have recently been introduced as a safe diagnostic tool in the diagnosis of interstitial lung diseases. While we do not enough evidence its role and place as a diagnostic procedure, the technique has been adopted by many centers. In spite of expanding body of literature, there are variations in patient selection and procedural aspect of the procedure. It has been established as a safe procedure if safety measures are practiced. Diagnosis of interstitial lung diseases continuous to be challenging. Surgical lung biopsy considered as gold standard but its morbidity and mortality limit its utilization in every case. Multidisciplinary medical decision is a validated team work effort when approaching patients with interstitial lung disease.

摘要

经支气管冷冻探头肺活检(TBCLB)最近已被引入,作为诊断间质性肺疾病的一种安全诊断工具。虽然我们没有足够的证据证明其作为一种诊断程序的作用和地位,但该技术已被许多中心采用。尽管相关文献不断增多,但在患者选择和该程序的操作方面仍存在差异。如果采取安全措施,它已被确立为一种安全的程序。间质性肺疾病的诊断仍然具有挑战性。外科肺活检被视为金标准,但其发病率和死亡率限制了其在每种情况下的应用。在诊治间质性肺疾病患者时,多学科医疗决策是一种经过验证的团队协作努力。

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