Endoscopic transbronchial ultrasound guided lung biopsy for pulmonary dissemination diagnosis
Journal Title: Хірургія України - Year 2018, Vol 0, Issue 3
Abstract
The aim — to study the diagnostic value of endobronchial ultrasound (EBUS)guided transbronchial biopsy of lung (TBBL) for pulmonary dissemination syndrome. Materials and methods. The results of EBUS TBBL performance in 64 patients with pulmonary dissemination syndrome were analyzed. Among patients, persons of working age predominated — 52 (81.3 %). There were 36 men, 28 women. Results and discussion. The following etiology of pulmonary dissemination was diagnosed by pathohistological examination of lung biopsy samples: sarcoidosis in 24 (37.5 %) cases, tuberculosis in 6 (9.4 %), oncological lesions in 14 (21.9 %), other nosology — in 20 (31.2 %). The information sensitivity of EBUS TBBL was 87.5 %, specificity — 89.4 %, accuracy — 65.6 % with histological examination. When EBUS TBBL was used, a low level of intraoperative and postoperative complications was noted: 7.8 % (4 (6.2 %) cases of traumatic pneumothorax and 1 (1.6 %) minor haemoptysis), small average duration of operative intervention 21.9 ± 0.8 min), which indicates the low invasiveness and safety of EBUS TBBL as a method of establishing the etiology of dissemination. Conclusions. EBUS TBBL is a method of choice, since it is a minimally invasive and least traumatic invasive diagnostic method, does not require a long recovery period after intervention and allows to obtaine the morphological examination samples.
Authors and Affiliations
M. S. Opanasenko, O. V. Tereshkovych, V. B. Bychkovskyi, I. V. Liskina, L. M. Zahaba, L. I. Levanda, V. I. Lysenko
Keywords
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- EP ID EP415741
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