CAJ | 학술논문

目的探讨支气管内超声引导经支气管针吸活检术（ EBUS-TBNA）对纵隔新生物诊断的临床价值。方法收集成都军区总医院呼吸内科2013年11月~2014年4月完成EBUS-TBNA操作的11例，对EBUS-TBNA的有效性、安全性进行分析和评价。结果11例中，9例明确了病理诊断，其中1例为胸腺瘤，其余8例为小细胞肺癌等恶性疾病；另外2例病理诊断为阴性。所有患者均无严重并发症发生。结论 EBUS-TBNA具有创伤小、直视操作、风险可控的优点，是一项有重要临床价值的介入肺脏病学尖端技术。
목적탐토지기관내초성인도경지기관침흡활검술（ EBUS-TBNA）대종격신생물진단적림상개치。방법수집성도군구총의원호흡내과2013년11월~2014년4월완성EBUS-TBNA조작적11례，대EBUS-TBNA적유효성、안전성진행분석화평개。결과11례중，9례명학료병리진단，기중1례위흉선류，기여8례위소세포폐암등악성질병；령외2례병리진단위음성。소유환자균무엄중병발증발생。결론 EBUS-TBNA구유창상소、직시조작、풍험가공적우점，시일항유중요림상개치적개입폐장병학첨단기술。
Objective To investigate the clinical value of endobronchial ultrasound-guided transbronchial needle aspiration ( EBUS-TBNA)in diagnosis of mediastinal neoplasam. Methods We collected the data of 11 cases with mediastinal neoplasam who received EBUS-TBNA in Department of Respiratory Diseases of General Hospital of Chengdu Military Command from November 2013 to April 2014 in order to analyze and evaluate the efficacy and safety of EBUS-TBNA. Results For all 11 cases,pathological diagnosis was confirmed in 9 cases,including thymoma in 1 case and malignant tumor such as small cell lung cancer in another 8 ones;the other 2 ones were negative in pathological diagnosis. No severe complications occurred to any patients with EBUS-TBNA. Conclusion EBUS-TBNA,with the advantages of minimal lesion,visual operation and controllable risk,is a sophisticated interveneopulmonology technique of important clinical value.