中国西部儿科可弯曲支气管镜检查的多中心调查。

A multicenter survey of pediatric flexible bronchoscopy in western China.

作者信息

Lin Jilei, Tao Xingping, Xia Wanmin, Liu Jing, Zhong Lin, Sun Xin, Liu Lu, Li Lei, Jin Rong, Cheng Li, Wang Zhongtao, Luo Zhengxiu, Li Qubei, Liu Enmei, Fu Zhou, Dai Jihong

机构信息

Department of Respiratory Disease, Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, Chongqing, China.

Department of Pediatrics, Kaiyuan People's Hospital, Kaiyuan, China.

出版信息

Transl Pediatr. 2021 Jan;10(1):83-91. doi: 10.21037/tp-20-244.

DOI:10.21037/tp-20-244

PMID:33633940

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7882290/

Abstract

BACKGROUND

This study aims to investigate the current use of pediatric flexible bronchoscopy (PFB) in western China.

METHODS

A cross-sectional survey was conducted in western China between January 1, 2018 to December 30, 2018. Fifty-four centers were invited to answer a questionnaire for seeking information about performance of PFB. The data collected were analyzed to investigate the current status of western China, and hierarchical cluster analysis was conducted to identify developmental level of PFB of cities.

RESULTS

Forty-seven centers were included in analysis. A total of 22,585 flexible bronchoscopies were carried out in the participating centers from January 1, 2018 to December 30, 2018. Eight centers (17.0%) performed more than 1,000 pediatric flexible bronchoscopies for children, but 20 centers (42.6%) performed less than 100. The median proportion of systematic and professional trained physicians in a single team was 50%, and the pooled rate was 59% (95% CI, 47-70%). Only 10, 8 and 11 centers performed balloon dilatation, thermal ablation and cryoablation, respectively. Obvious cough was the most frequent complication after the PFB procedure, the pooled rate is 24% (95% CI, 18-29%). No one died during and after the PFB procedure. Hierarchical cluster analysis showed that the development of PBF in western China varies, and Chongqing might be the most developed area in PFB use in western China.

CONCLUSIONS

Flexible bronchoscopy in children is now a mature and safe procedure, while the development of PFB varies in western China, especially for the advanced bronchoscopic intervention.

摘要

背景

本研究旨在调查中国西部儿科可弯曲支气管镜检查（PFB）的当前使用情况。

方法

于2018年1月1日至2018年12月30日在中国西部进行了一项横断面调查。邀请了54个中心回答一份关于PFB操作情况的问卷。对收集到的数据进行分析以调查中国西部的现状，并进行分层聚类分析以确定各城市PFB的发展水平。

结果

47个中心纳入分析。2018年1月1日至2018年12月30日，参与中心共进行了22585例可弯曲支气管镜检查。8个中心（17.0%）为儿童进行了超过1000例儿科可弯曲支气管镜检查，但20个中心（42.6%）的检查例数少于100例。单个团队中经过系统专业培训的医生的中位数比例为50%，汇总率为59%（95%CI，47 - 70%）。分别只有10个、8个和11个中心进行了球囊扩张、热消融和冷冻消融。PFB术后最常见的并发症是明显咳嗽，汇总率为24%（95%CI，18 - 29%）。PFB术中及术后均无死亡病例。分层聚类分析显示，中国西部PBF的发展情况各不相同，重庆可能是中国西部PFB使用最发达的地区。