Combination of electronic bronchoscope and narrow band imaging (NBI) in diagnosis of carcinomatous hydrothorax
10.3969/j.issn.1007-1989.2018.02.011
- VernacularTitle:电子支气管镜联合窄带成像技术对癌性胸腔积液的诊断价值
- Author:
Gang QING
1
;
Wan-Xiu HUANG
;
Xian JIANG
;
Tang-Ling YANG
;
Qing-Ping FU
;
Xin-Fang MEI
;
Guo-Hua XU
;
Ting LIU
Author Information
1. 四川省广安市人民医院 呼吸内科
- Keywords:
electronic bronchoscopy;
medical thoracoscopey;
narrow-band imaging technology;
pleural effusion;
diagnosis
- From:
China Journal of Endoscopy
2018;24(2):52-56
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the value of the electron bronchoscopy in diagnosis of carcinothoracic fluid in the case of replacing medical thoracoscopy and combining narrow-band imaging (NBI). Methods 89 cases of suspected cancerous pleural effusion patients, used electronic bronchoscope Olympus BF-1T 260 in place of medical thoracoscopy to enter pleural cavity in the usual way. First observed by white light bronchoscopy (WLB), then by narrow-band imaging (NBI) and take 5 pieces of tissue out respectively on the pleura of the lesion for pathological examination. Then compare the sensitivity and specificity of WLB and NBI methods, and the bleeding after biopsy. Result Among 89 cases of suspected cancerous pleural effusion patients, 85 cases found positive by white light bronchoscopy (WLB) , negative in 4 cases, 6 cases bleeding after biopsy (6.70%). Compared with the pathological results, WLB sensitivity 97.50%, specificity 22.22%. 68 cases found positive by NBI, negative 21 cases, no active bleeding after biopsy. Compared with the pathological results, the sensitivity of the NBI 86.67%, specificity 78.57%. Compared WLB with NBI, the former's sensitivity is superior to the latter, the latter's specificity is superior to the former. Both comparisons about sensitivity diagnosis of the and specificity are statistically significant (P < 0.05). Conclusion Electronic bronchial in place of medical thoracoscopy has high diagnostic rate in the carcinothoracic fluid, and the combination of NBI can improve the accuracy and security of the biopsy.
