CAJ | 학술논문

目的评价超声支气管镜引导下的经支气管针吸活检EBUS-TBNA)对老年人肺癌的诊断价值和安全性. 方法于2013年8月至2014年7月对31例胸部CT或正电子发射计算机断层显像(PET-CT)检查显示肺内占位伴多发纵膈淋巴结肿大的≥65岁的患者进行EBUS-TBNA,未采取现场细胞学方法进行检测. 结果 31例患者中男性26例,女性5例,年龄65～77岁,平均70.1岁.31例患者共穿刺70组淋巴结,肺内肿块4例.31例肺癌患者中通过EBUS-TBNA明确诊断29例,假阴性2例,敏感度为93.6％、特异度100.0％.本检查中全部患者均无严重并发症发生.结论 EBUS-TBNA是诊断老年人肺癌安全、有效的方法.
목적 평개초성지기관경인도하적경지기관침흡활검EBUS-TBNA)대노년인폐암적진단개치화안전성. 방법 우2013년8월지2014년7월대31례흉부CT혹정전자발사계산궤단층현상(PET-CT)검사현시폐내점위반다발종격림파결종대적≥65세적환자진행EBUS-TBNA,미채취현장세포학방법진행검측. 결과 31례환자중남성26례,녀성5례,년령65～77세,평균70.1세.31례환자공천자70조림파결,폐내종괴4례.31례폐암환자중통과EBUS-TBNA명학진단29례,가음성2례,민감도위93.6％、특이도100.0％.본검사중전부환자균무엄중병발증발생.결론 EBUS-TBNA시진단노년인폐암안전、유효적방법.
Objective To evaluate the diagnostic value and safety of endobronchial ultrasoundguided transbronchial needle aspiration (EBUS-TBNA) in elderly patients with bronchogenic carcinoma.Methods From August,2013 and July,2014,31 patients aged 65 years and over with space-occupying mass and enlarged mediastinal lymph nodes detected by CT or positron emission tomography-computed tomography (PET-CT) underwent EBUS-TBNA.Rapid onsite cytology evaluation was not performed.Results There were 26 males and 5 females in this study,aged 65-77 years (70.1 years old on average).In 31 patients,70 samples were obtained from lymph nodes (LNs) and 4 samples were obtained from intrapulmonary lesions.29 cases were diagnosed as lung cancer,and 2 cases had false-negative diagnoses.The sensitivity and specificity rates of EBUS-guided TBNA method were 93.6％ and 100.0％,respectively.No major complications were observed in this series.Conclusions EBUS-TBNA is an safe and effective method in diagnosing bronchogenic carcinoma in elderly patients.