Analysis of the organization of endobronchial ultrasonography’ cabinet in the structure of medical care for patients with pathology of mediastinal lymphatic nodes

DOI: https://doi.org/10.25512/DIR.2017.11.1.02

For quoting:
Kiseljov I.L., Podol'skij V.V., Podol'skaja E.A. "Analysis of the organization of endobronchial ultrasonography’ cabinet in the structure of medical care for patients with pathology of mediastinal lymphatic nodes". Journal Diagnostic & interventional radiology. 2017; 11(1); 13-17.

authors:

Kiseljov I.L.

Podol'skij V.V.

Podol'skaja E.A.

keywords:

Endobronchial ultrasonography

mediastinal lymphatic node pathology

fine needle aspiration biopsy

health organization

Abstract:

Mediastinal lymphadenopathy is well diagnosed with diagnostic beam methods in primary care outpatient care. The problem is the heterogeneity of this group of diseases, requiring differential diagnosis, on the basis of which individual treatment plan is developed. Morphological verification is a prerequisite for the effective management of such patients

Aim: was to improve the diagnosis of patients with different mediastinal lymph node using endobronchial ultrasonography (EBUS) by evaluation of EBUS cabinet, algorithmization and improvement of its structure and working procedure.

Materials and methods: for the period 2012-2016, 115 patients underwent endobronchial ultrasonography, in 71 cases of which (45,8%) EBUS was accompanied by fine-needle aspiration biopsy (FNAB).

Results: we had investigated the capacity, efficiency Further development of and prospects were identified.

Conclusions: optimizing of structure of the EBUS cabinet, algorithmization of procedure can improve the level of the differential diagnosis in patients with mediastinal lymph node lesion anc reduce the time of examination of patients in this group.

References

1. Chissov V.I., Dar'jalova S.L. Onkologija. [Oncology]. M.: «GJeOTAR-Media» 2007:560S. [In Russ].

2. Davydov M. I., Machaladze Z. O., Polockij B. E. Et al. Mezenhimal'nye opuholi sredostenija (obzor literatury). [Mesenchymal tumors of the mediastinum (review)]. Sibirskij onkologicheskij zhurnal. 2008; 1:64-74 [In Russ].

3. Nechipaj A. M., Orlov S. Ju., Fjodorov E. D. JeUS-buka. [EUS-book]. M.: Practicheskaya meditcina. 2013;243-245 [In Russ].

4. Koroljov V. N., Burdjukov M. S., Surovcev I. Ju., Sazhina E. A. Jendobronhial'naja ul'trasonografija sredostenija i bronho-ljogochnoj sistemy. [Endobronchial ultrasonography of mediastinal and bronchial-pulmonary system]. Povolzhskij onkologicheskij vestnik. 2016;2:14-25 [In Russ].

5. Prilozhenie k prikazu MZSr ot 27.12.2011 N1664n «Ob utverzhdenii nomenklatury medicinskih uslug» URL.: https://www.rosminzdrav.ru/documents/6975-prikaz-minzdravsotsrazvitiya-rossii-1664n-ot-27-dekabrya-2011-g (Data obrashhenija 23.10.2014) [In Russ].

6. Prikaz Ministerstva zdravoohranenija RF ot 15 nojabrja 2012 g. N 915n «Ob utverzhdenii Porjadka okazanija medicinskoj pomoshhi naseleniju po profilju «onkologija» URL.: http://www.gov.cap.ru/UserFiles/orgs/ Grvid_11/oncologiya.pdf (Data obrashhenija 23.10.2014) [In Russ].

7. Prikaz Ministerstva zdravoohranenija i medicinskoj promyshlennosti ot 31 maja 1996 g . №222 «O sovershenstvovanii sluzhby jendoskopii v uchrezhdenijah zdravoohranenija Rossijskoj Federacii» URL.: http://www.endoscopy.ru/doctor/222.html (Data obrashhenija 23.10.2016) [In Russ].

8. Sanitarno-jepidemiologicheskie pravila SP 3.1.2659-10 «Izmenenija i dopolnenija N 1 k sanitarno-jepidemiologicheskim pravilam SP 3.1.1275-03 «Profilaktika infekcionnyh zabolevanij pri jendoskopicheskih manipuljacijah» URL.: http://pravo.gov.ru/proxy/ips/?docbody=&nd=102141277 &rdk=&backlink=1 (Data obrashhenija 10.10.2016) [In Russ].

9. Podol'skij V. V., Podol'skaja E. A., Kiseljov I. L. Intervencionnaja jendobronhoul'trasonografija v diagnostike peribronhial'nogo raka ljogkogo. [Interventional endobronchial ultrasonography in the diagnosis of peribronchial cancer of lung]. VIII nauchno-prakticheskaja konferencija intervencionnyh onkoradiologov. [VIII scientific conference of interventional onkoradiology] M., 2015; S. 40-41 [In Russ].