CAJ | 학술논문

目的评价超声支气管镜引导下的经支气管针吸活检(endobronchial ultrasound-guided transbronchial needle aspiration,EBUS-TBNA)在纵隔淋巴结定性诊断中的价值.方法对2011年8月至2013年2月胸部CT诊断的148例纵隔淋巴结患者行EBUS-TBNA,回顾性分析和总结其中外科手术或胸腔镜纵隔镜病理确诊为淋巴结恶性肿瘤的129例EBUS-TBNA结果,评价该技术的优势、穿刺成功率及诊断准确率.结果实施EBUS-TBNA的129例患者纵隔淋巴结在扫描和活检中均能清晰显示、准确引导,11 8例取得阳性诊断,11例假阴性,穿刺成功率100％,诊断正确性91.47％,无并发症发生.结论 EBUS-TBNA是确诊纵隔淋巴结病变和评价新辅助化疗疗效的安全、实用的技术.
목적 평개초성지기관경인도하적경지기관침흡활검(endobronchial ultrasound-guided transbronchial needle aspiration,EBUS-TBNA)재종격림파결정성진단중적개치.방법 대2011년8월지2013년2월흉부CT진단적148례종격림파결환자행EBUS-TBNA,회고성분석화총결기중외과수술혹흉강경종격경병리학진위림파결악성종류적129례EBUS-TBNA결과,평개해기술적우세、천자성공솔급진단준학솔.결과 실시EBUS-TBNA적129례환자종격림파결재소묘화활검중균능청석현시、준학인도,11 8례취득양성진단,11례가음성,천자성공솔100％,진단정학성91.47％,무병발증발생.결론 EBUS-TBNA시학진종격림파결병변화평개신보조화료료효적안전、실용적기술.
Objective To evaluate the diagnostic value of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) in the diagnosis of mediastinal lymphadenopathy.Methods EBUS-TBNA were performed in 148 mediastinal lymphadenopathy previously by CT were selected,and 129 malignant tumor were confirmed by surgery.The advantages of EBUS-TBNA were evaluated,including superiority,success rate of puncture and diagnostic accurary.Results In 129 cases,mediastinal lymphadenopathy were detected clearly and were guided accurately by EBUS-TBNA.The positive results were obtained in 118 cases,and the false negative results in 11 cases.The success rate of biopsy and sensitivity of diagnosis by EBUS-TBNA in malignant tumor were 100％ and 91.47％ respectively.There were no complications in this group.Conclusions EBUS-TBNA is a safe and useful technique in diagnosis of mediastinal lymphadenopathy and evaluate the response to neoadjuvant chemotherapy.