Application of different transbronchoscopic biopsies in the diagnosis of senile central lung cancer
- VernacularTitle:不同经支气管镜活检术在老年中央型肺癌诊断中的应用
- Author:
Pei ZHAN
1
;
Yu ZHANG
;
Fei-Yan LAN
;
Wei YANG
;
Xiao-Shuang LIAO
;
Zhi-Qiang TIAN
Author Information
- Keywords: endobronchial biopsy; conventional transbronchial needle aspiration; old age; central lung cancer; diagnosis
- From: Journal of Regional Anatomy and Operative Surgery 2024;33(12):1081-1084
- CountryChina
- Language:Chinese
- Abstract: Objective To study the application value of different transbronchial biopsies in the diagnosis of central lung cancer in elderly patients.Methods The clinical data of 97 elderly patients with central lung cancer diagnosed by pathology from June 2020 to June 2023 in the 923rd Hospital of Chinese People's Liberation Army Joint Logistic Support Force were retrospectively analyzed.According to the different initial transbronchial biopsy methods,the patients were divided into the endobronchial biopsy(EBB)group(n=51)and the conventional transbronchial needle aspiration(cTBNA)group(n=46).The histopathological results were statistically analyzed,and the first biopsy positive rates of EBB and cTBNA in the diagnosis of senile central lung cancer were calculated and compared.At the same time,the differences of biopsy tolerance and complications between the two groups were evaluated.Results The squamous cell carcinoma proportions in both groups were over 50%.There was no significant difference in the first biopsy positive rate between the two groups(P>0.05).The incidence of temporary retreat of the scope due to subjective tolerance in the EBB group was higher than that in the cTBNA group,and the difference was statistically significant(P<0.05).There was a statistically significant difference in the incidence of intraoperative complications of different grades between the two groups(P<0.001).Among them,the incidence of grade 2 and above complications during surgery in the EBB group was significantly higher than that in the cTBNA group(P<0.001).Conclusion For elderly patients with central lung cancer,the success rate of the first biopsy of EBB and cTBNA is roughly equivalent,but the incidence of postoperative complications of the latter is significantly lower than that of the former.cTBNA can be used as the first biopsy method for this population.
