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The Comparison of Uniportal and Tubeless Video Assisted Thoracic Surgery and Transbronchial Lung Cryobiopsy in the Diagnosis of Interstitial Lung Disease

Not Applicable
Conditions
Surgical Lung Biopsy
Transbronchial Lung Cryobiopsy
Interstitial Lung Disease
Interventions
Diagnostic Test: lung biopsy
Registration Number
NCT03958162
Lead Sponsor
Guangzhou Institute of Respiratory 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.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
60
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

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
transbronchial lung cryobiopsylung biopsytransbronchial lung cryobiopsy
uniportal and tubeless video assisted thoracic surgerylung biopsylung biospy by the uniportal and tubeless video assisted thoracic surgery
Primary Outcome Measures
NameTimeMethod
Diagnotic yieldtwo weeks

Percentage of definitive diagnosis within the multidisciplinary discussion context by two different biopsy methods

Secondary Outcome Measures
NameTimeMethod
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