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吴宝妹,李玉梅.电磁导航支气管镜在肺外周结节诊断中的护理配合[J].上海护理,2017,17(6):
电磁导航支气管镜在肺外周结节诊断中的护理配合
DOI：
中文关键词:  电磁导航  支气管镜检查  肺周围性病变  护理
英文关键词:Electromagnetic navigation  Bronchoscopy  Peripheral pulmonary lesion  Nursing care
基金项目:本项目属于申康新兴联合公关前沿技术基金资助项目（基金编号SHDC12012111)
作者单位E-mail
吴宝妹 上海市肺科医院 baobao711129@sohu.com 
李玉梅* 上海市肺科医院 liyumei7@163.com 
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中文摘要:
      目的 通过临床病例分析，对电磁导航支气管镜技术的操作过程与护理配合进行初步探索。 方法 选择2014年6月至2015年5月于上海市肺科医院住院患者68例进行电磁导航支气管镜检查，术中导航成功后通过外周超声确认位置，并在X线透视下进行标本获取，送病理学检测。根据检查结果来确定电磁导航支气管镜对肺外周结节的诊断价值。 结果68例共有72处病灶被ENB检查，阳性诊断率为86%。导航时间24.03±16.68分钟，病灶大小26.27±6.26mm。无并发症发生。结论 电磁导航支气管镜是一项诊断肺外周结节的安全、有效、微创、便捷的新兴技术。熟练地操作技术及科学、严格周密的护理配合是避免术后并发症，顺利完成检查的关键。
英文摘要:
      Objective: Electromagnetic navigation bronchoscopy (ENB) has been developed as a novel ancillary tool for the bronchoscopic diagnosis of pulmonary nodules. This study was conducted to explore its operation philosophy and nursing care through clinical case analysis. methods: During the study enrollment period (June,2014 through May,2015), the ENB was performed on those patients who was detected peripheral lung nodules by chest CT. After being successfully navigated, the lesion location was confirmed by peripheral ultrasound and specimen was sampled under X-ray assistant. The specimen was finally sent to determine the pathologic classification. The diagnostic value of ENB to peripheral nodules was evaluated by the final pathologic results. Results: A total of 68 patients were enrolled in this study. overall diagonostic yield was 86%, the mean navigation time was 24.03±16.68min, and the mean lesion size was 26.27±6.26mm. No procedure-related complications were observed. Conclusion: ENB is a new emerging technology which is safe, effective, minimally invasive and convenient in diagnosing peripheral lung nodules. Skillful manipulation, strict nursing care are the key of the successful completion of the examination and complications can be avoided as well.
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