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EBUS-TBB in peripheral lung lesion (compared with conventional TBB)

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EBUS-TBB vs TBB 2005 Chest(1).pdf 220
EBUS-TBB Method
 
Analysis was performed using an endoscopic ultrasound system (EU-M 30;Olympus), equipped with a 20-MHz flexible probe, following careful examination of the upper airways and bronchial tree. The bronchial wall and its layers were visualized with a 360° view.
 
After localization of the target lesion, the probe was removed and five biopsy samples were taken in the same place indicated by the probe, using flexible transbronchial biopsy forceps.
 
EBUS-TBB 가 peripheral lesion biopsy 에서 3cm 미만에서 진단적 효용이 높다. EBUS 를 이용한 TBB 는 TTNA 와 견줄 만하며 기존의 TBLB 보다 sensitivity 및 accuracy 가 유의하게 차이 났다.
 
ATS 2002 statement: cardiopulmonary exercise test
ENB combined with radial EBUS

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