CAJ | 학술논문

目的评价经纤维支气管镜下不同取材对结节病诊断的价值.方法回顾性分析50例经纤维支气管镜检查,采用肺内活检(包括经支气管黏膜活检和经纤维支气管镜肺活检)、经气管镜针吸活检(TBNA)和经气管镜超声引导针吸活检术(EBUS-TBNA)等方法获取标本,经病理学或细胞学检查确诊为结节病的患者,比较不同取材及联合取材检测结节病的阳性率.结果经EBUS-TBNA和TBNA诊断为结节病的患者的阳性率分别为86.7%和82.5%,与肺内活检检查的阳性率(66.7%)相比,差异显著.结论纤维支气管镜检查是确诊结节病的重要手段之一,EBUS-TBNA和TBNA检查创伤性小,安全性好,准确率高,在结节病的诊断中有较高的应用价值.
목적 평개경섬유지기관경하불동취재대결절병진단적개치.방법 회고성분석50례경섬유지기관경검사,채용폐내활검(포괄경지기관점막활검화경섬유지기관경폐활검)、경기관경침흡활검(TBNA)화경기관경초성인도침흡활검술(EBUS-TBNA)등방법획취표본,경병이학혹세포학검사학진위결절병적환자,비교불동취재급연합취재검측결절병적양성솔.결과 경EBUS-TBNA화TBNA진단위결절병적환자적양성솔분별위86.7%화82.5%,여폐내활검검사적양성솔(66.7%)상비,차이현저.결론 섬유지기관경검사시학진결절병적중요수단지일,EBUS-TBNA화TBNA검사창상성소,안전성호,준학솔고,재결절병적진단중유교고적응용개치.
Objective To investigate the diagnosis value of fiberoptic bronchoscopy in sarcoidosis. Methods 50 patients with sarcoidosis were retrospectively analyzed and the positive rate of sarcoidosis was compared among transbronchial biopsy or transbronchial lung biopsy, transbronchial needle aspiration (TBNA) and endobronchial ultrasound-guided transbronchial needle aspiration(EBUS-TBNA). Results The positive rate of sarcoidosis confirmed by EBUS-TBNA and TBNA was 86.7% and 82.5%, and the positive rate of sarcoidosis confirmed by lung biopsy was 66.7%. Conclusions Fiberoptic bronchoscopy is an important means in the diagnosis of sarcoidosis. EBUS-TBNA and TBNA are safe and accurate. They have a higher value in the diagnosis of sarcoidosis.