Surgical Lung Biopsy, Transbronchial Lung Cryobiopsy, Interstitial Lung Disease
Conditions
Keywords
surgical lung biopsy, transbronchial lung cryobiopsy, interstitial lung disease
Brief summary
To compariing the uniportal and tubeless video assisted thoracic surgery and trnsbronchial lung cryobiopsy within the multidisciplinary discussion context in the diagnosis of interstitial lung disease,and assess the safety and cost-effectiveness. This is a prospective control trial.
Interventions
transbronchial lung cryobiopsy
Sponsors
Study design
Eligibility
Inclusion criteria
1. 18 yrs ≤ age\<75yrs 2. Patients diagnosed as interstitial lung disease with comprehensive clinical data (including history, serological test, spirometry test and high resolution computed tomography) 3. Further pathological data was still required after multidisciplinary discussion.
Exclusion criteria
1. Severe pulmonary dysfunction: forced vital capacity (FVC) ≤65% or carbon-monoxide diffusion coefficient (DLco) ≤45% of predicted value 2. Pulmonary hypertension: An estimated systolic pulmonary artery pressure\>50mmHg on echocardiography 3. Abnormal coagulation parameters or thrombocytopenia (\<50\*109/L) 4. Severe comorbidities leading to inoperable condition 5. Patients cannot give consent or refuse biopsy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Diagnotic yield | two weeks | Percentage of definitive diagnosis within the multidisciplinary discussion context by two different biopsy methods |