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Transbronchial Biopsy Using Endobronchial Ultrasonography with a Guide Sheath Increased the Diagnostic Yield of Peripheral Pulmonary Lesions
http://hdl.handle.net/10069/28971
http://hdl.handle.net/10069/289711d87d4c3-4c40-4c24-beda-fc62c9704deb
名前 / ファイル | ライセンス | アクション |
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IntMed51_455.pdf (169.9 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2012-08-08 | |||||
タイトル | ||||||
タイトル | Transbronchial Biopsy Using Endobronchial Ultrasonography with a Guide Sheath Increased the Diagnostic Yield of Peripheral Pulmonary Lesions | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | diagnostic yield | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | endobronchial ultrasonography | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | guide sheath | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | peripheral pulmonary lesions | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | solitary pulmonary nodule | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | transbronchial biopsy | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
Ishida, Masayuki
× Ishida, Masayuki× Suzuki, Motoi× Furumoto, Akitsugu× Tsuchihashi, Yoshiko× Ariyoshi, Koya× Morimoto, Konosuke |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Objective The advantage of transbronchial biopsy (TBB) using endobronchial ultrasonography (EBUS) with a guide sheath (GS) over TBB without EBUS guidance was investigated in this study. Materials and Methods A retrospective chart review was conducted at Nagasaki University Hospital, Japan. Data were collected from all cases of peripheral pulmonary lesions (PPLs) undergoing either EBUS-GS-guided TBB or TBB without EBUS guidance in our department from December 2003 through November 2009. The diagnostic yield in each group was compared, after adjustment for other factors. Results In total 110 PPLs were investigated in 102 patients: 65 (59.1%) were examined with EBUS-GS-guided TBB (EBUS-GS group) and 45 (40.9%) were TBB without EBUS guidance (non-EBUS group). Both procedures were performed under x-ray fluoroscopy. Basic characteristics were similar between the two groups. Of all EBUS examined lesions, 53 (81.5%) were visualized by EBUS. The diagnostic yields in EBUS-GS group and non-EBUS group were 64.6% and 46.7%, respectively (p=0.08). Adjusting for size and location of lesions, the yield of EBUS-GS guidance was 1.46 (95% confidence interval 1.03 to 2.05) times higher than without EBUS guidance. When the lesion was visualized by EBUS, the diagnostic yield ratio was further increased to 1.63 (95% CI 1.16 to 2.27). Conclusion EBUS-GS-guided TBB demonstrates a higher diagnostic yield than TBB without EBUS guidance. |
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書誌情報 |
Internal Medicine 巻 51, 号 5, p. 455-460, 発行日 2012-03-01 |
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出版者 | ||||||
出版者 | The Japanese Society of Internal Medicine | |||||
出版者別言語 | ||||||
日本内科学会 | ||||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 09182918 | |||||
EISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 13497235 | |||||
DOI | ||||||
関連タイプ | isIdenticalTo | |||||
識別子タイプ | DOI | |||||
関連識別子 | 10.2169/internalmedicine.51.6358 | |||||
権利 | ||||||
権利情報 | © 2012 by The Japanese Society of Internal Medicine | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
関係URI | ||||||
関連名称 | http://hdl.handle.net/10069/29756 | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Internal Medicine, 51(5), pp.455-460; 2012 |