[电视胸腔镜肺活检在弥漫性肺疾病中的疗效：与开胸肺活检的比较]

[Efficacy of video thoracoscopic lung biopsy in diffuse lung diseases: comparison with open lung biopsy].

作者信息

Iwata M, Sato A, Chida K, Hayakawa H, Imokawa S, Todate A, Suzuki K, Horiguchi T, Sugimura H, Neyatani H

机构信息

Department of Internal Medicine, Hamamatsu University School of Medicine.

出版信息

Nihon Kyobu Shikkan Gakkai Zasshi. 1995 Jul;33(7):700-4.

PMID:7563994

Abstract

The efficacy and safety of video thoracoscopic lung biopsy (VTLB) and of open lung biopsy (OLB) were compared in patients with diffuse lung diseases. Thirty-three patients who had undergone VTLB were retrospectively studied and compared with 67 patients who had undergone OLB. There were no significant differences in age (52.8 +/- 10.9 vs 53.4 +/- 10.3), in the number of biopsies per patient (2.6 +/- 0.6 vs 2.7 +/- 0.6), or in the rate of diagnosis (94% vs 93%) between the two groups. However, the rate of diagnosis was low when the number of VTLB or OLB performed per patient was low. The patients undergoing VTLB had significantly shorter operative times (VTLB, 100.2 +/- 27.2 min. vs OLB, 119.8 +/- 42.6 min; p < 0.01) and less blood loss (VTLB, 4.7 +/- 14.6 ml vs OLB, 65.7 +/- 77.0 ml; p < 0.001). Complications occurred in 3 of the 33 who underwent VTLB, and in 18 of the 67 who underwent OLB. These results indicate that VTLB is an effective and safe alternative in the diagnosis of diffuse lung diseases.

摘要

在患有弥漫性肺部疾病的患者中，对电视胸腔镜肺活检（VTLB）和开胸肺活检（OLB）的疗效和安全性进行了比较。对33例行VTLB的患者进行回顾性研究，并与67例行OLB的患者进行比较。两组患者在年龄（52.8±10.9岁 vs 53.4±10.3岁）、每位患者的活检次数（2.6±0.6次 vs 2.7±0.6次）或诊断率（94% vs 93%）方面均无显著差异。然而，当每位患者进行的VTLB或OLB次数较少时，诊断率较低。接受VTLB的患者手术时间明显较短（VTLB，100.2±27.2分钟 vs OLB，119.8±42.6分钟；p<0.01），失血量较少（VTLB，4.7±14.6毫升 vs OLB，65.7±77.0毫升；p<0.001）。33例行VTLB的患者中有3例发生并发症，67例行OLB的患者中有18例发生并发症。这些结果表明，VTLB是诊断弥漫性肺部疾病的一种有效且安全的替代方法。