电视胸腔镜肺活检在弥漫性间质性肺疾病中的应用

Video thoracoscopic lung biopsy in diffuse interstitial lung diseases.

作者信息

Riantawan P, Koanantakool T, Chotivatanapong T, Kasemsarn C, Charupatanapongse U, Yodtasurodom C

机构信息

Division of Academic Medicine, Central Chest Hospital, Nonthaburi, Thailand.

出版信息

J Med Assoc Thai. 1998 Sep;81(9):688-92.

PMID:9737126

Abstract

The present study examined the use of video thoracoscopic lung biopsy (VTLB) in diffuse interstitial lung disease, in comparison with open lung biopsy (OLB). Twenty and fifteen patients underwent VTLB and OLB, respectively, from 1987 to 1997 at the Central Chest Hospital, Thailand. Data in mean (SD). The mean age was 39 years in both groups. VTLB yielded equivalent size of lung tissues, 4.7 (2.32) cm3, and was as diagnostically useful as OLB. Estimated blood loss, 60 (37) mls, and length of pleural drainage, 2.8 (0.5) days, were comparable in either technique. As OLB had been in practice for decades, it took shorter operative time, 64 (11) mins, than VTLB, 105 (30) mins, (p = 0.005). Both VTLB and OLB approaches were safe and not associated with major postoperative complications.

摘要

本研究对比了电视胸腔镜肺活检（VTLB）与开胸肺活检（OLB）在弥漫性间质性肺疾病中的应用情况。1987年至1997年期间，泰国中央胸部医院分别有20例和15例患者接受了VTLB和OLB。数据以均值（标准差）表示。两组患者的平均年龄均为39岁。VTLB获取的肺组织大小相当，为4.7（2.32）立方厘米，诊断价值与OLB相当。两种技术的估计失血量均为60（37）毫升，胸腔引流时间均为2.8（0.5）天。由于OLB已应用数十年，其手术时间较短，为64（11）分钟，而VTLB为105（30）分钟，（p = 0.005）。VTLB和OLB两种方法均安全，且与术后主要并发症无关。