CAJ | 학술논문

目的：研究胸部CT影像学支持下电子支气管镜纵隔淋巴结针吸活检术的应用和临床效果。方法研究通过将我院2009年1月～2011年12月接诊的纵隔淋巴结肿大的患者42例作为研究对象，使用电子支气管镜下针吸活检对纵隔淋巴结肿大的病因诊断率达近70％。结果经活检病理学分析作出诊断的纵隔淋巴结为29例，诊断率为69．05％，13例为未明确诊断。其中恶性肿瘤最多有21例，占总数的50％。所有42例患者均无严重并发症而终止手术。结论电子支气管镜在胸部CT影像学支持下纵隔淋巴结针吸活检，诊断率高，适合疾病的诊断及肿瘤分期，是一种值得推广的诊断技术。
목적：연구흉부CT영상학지지하전자지기관경종격림파결침흡활검술적응용화림상효과。방법연구통과장아원2009년1월～2011년12월접진적종격림파결종대적환자42례작위연구대상，사용전자지기관경하침흡활검대종격림파결종대적병인진단솔체근70％。결과경활검병이학분석작출진단적종격림파결위29례，진단솔위69．05％，13례위미명학진단。기중악성종류최다유21례，점총수적50％。소유42례환자균무엄중병발증이종지수술。결론전자지기관경재흉부CT영상학지지하종격림파결침흡활검，진단솔고，괄합질병적진단급종류분기，시일충치득추엄적진단기술。
Objective To study the clinical application of CT -guided transbronchial needle aspiration biopsy of me-diastinal lymph nodes(TBNA).Methods CT-guided TBNA was performed on 42 patients with enlarged mediastinal lymph nodes , which were admitted by our hospital from January 2009 to December 2011.Results 29 cases were suc-cessfully diagnosed by mediastinal lymph node biopsy , with diagnosis rate of 69.05%, in which malignant tumors ac-counted for a majority as 50%with 21 cases, while 13 cases remained unclear.None of the 42 surgeries was terminated by serious complications .Conclusions Mediastinal lymph nodes biopsy performed by CT -guided transbronchial needle aspiration is a worthy diagnostic technique , in disease diagnosis and tumor staging , with a high diagnosis rate .