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目的　探讨虚拟支气管镜导航 (VBN) 检查联合快速现场评价 (ROSE) 在外周肺感染性病灶中的应用效 果。方法　选择外周肺感染性病变患者78例, 按随机数字表法随机分为常规组和VBN组各39例。常规组接受常 规支气管镜检查联合ROSE, VBN组接受VBN检查联合ROSE。统计两组外周肺感染性病灶类型检出情况, 定位病 变时间、操作总时间、支气管镜操作次数, 以及检查期间并发症情况 (如咯血、气胸、气道出血、胸腔积气、纵隔气 肿) 。结果 78例外周肺感染性病变患者经病理检查共检出92个病灶, 其中VBN组有48个病灶、常规组有44个病 灶。VBN 组外周肺感染性病灶的检出率为 81. 25% (39/48), 常规组为 59. 09% (26/44), VBN 组外周肺感染性病灶 的检出率高于常规组 (P<0. 05) 。但两组肺脓肿、肺隐球菌病、肺曲霉菌病、肺毛霉菌病、细菌性肺炎、肺结核的检出 率比较差异均无统计学意义 (P均>0. 05) 。VBN组与病理诊断结果的一致性较好 (Kappa=0. 792, P<0. 05), 常规组与病 理诊断结果的一致性中等 (Kappa=0. 536, P<0. 05) 。VBN组定位病变时间、操作总时间均短于常规组, 支气管镜操作次 数少于常规组 (P均<0. 05) 。两组检查期间并发症的发生率比较差异无统计学意义 (P>0. 05) 。结论 VBN检查联合 ROSE可提高外周肺感染性病灶的检出率, 缩短病灶定位时间和操作时间, 减少支气管镜操作次数。 [ABSTRACT FROM AUTHOR]

Copyright of Shandong Medical Journal is the property of Shandong Medical Health Newspapers and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Shandong Medical Journal is the property of Shandong Medical Health Newspapers and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Shandong Medical Journal is the property of Shandong Medical Health Newspapers and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)