About this trial
Forty subjects meeting the inclusion and exclusion criteria were recruited at a single center and signed informed consent forms. Among them, 20 patients in the diffuse group and 20 patients in the localized group were randomly assigned to the conventional radial endobronchial ultrasound combined with cryobiopsy group (conventional group) and the confocal laser endomicroscopy combined with cryobiopsy group (combined group). During the operation, the operator manipulated the bronchoscope to reach the lesion. After confirming the arrival at the lesion using radial endobronchial ultrasound/confocal laser endomicroscopy, cryobiopsy was performed, and the size of the sample was recorded. CBCT scanning was conducted after cryobiopsy. If there was no hole-in-lesion image, cryobiopsy was performed again under CBCT guidance. CBCT scanning was performed after biopsy to determine whether there were any adverse events.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients over 18 years old with lung lesions indicated by chest CT;
Preoperative CT indicates that the lung lesion to be biopsied has a bronchus leading to it;
Able to understand and voluntarily sign the written informed consent form. -
Disqualifiers
Patients with contraindications to anesthesia or bronchoscopy;
Patients with uncorrectable coagulation disorders;
Patients who cannot discontinue therapeutic anticoagulants within an appropriate time interval before surgery;
Patients with severe liver or kidney dysfunction, mental illness, etc.;
Trial design
Parallel
Treatments tested in this trial
Confocal laser endomicroscopy combined cryobiopsy
Other interventionPatients in the combined group will undergo CLT combined with cryobiopsy for lung lesions.
Conventional cryobiopsy
Other interventionPatients in the conventional group will underg cryobiopsy for lung lesions.
Treatment groups
Trial outcomes
Primary outcomes
Incidence of adverse events
The Incidence of adverse events = (the number of adverse event / the number of procedures) \* 100%
Secondary outcomes
Diagnostic yield
The diagnostic yield = (the number of successful diagnoses / the number of completed biopsies) \* 100%
Hole-in-lesion rate
The rate of "hole-in-lesion" = (The number of cases with "hole-in-lesion" / The total number of cases that completed biopsy) \* 100% The definition of "Hole-in-lesion": After cryobiopsy, a CBCT scan is performed, and the CBCT image shows the presence of a cavity within the lesion.
Sponsors and contacts
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