中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2013年
13期
14-15
,共2页
针吸活检%支气管镜%淋巴结%肺肿瘤
針吸活檢%支氣管鏡%淋巴結%肺腫瘤
침흡활검%지기관경%림파결%폐종류
Needle aspiration biopsy%Bronchoscopy%Lymph node%Lung tumor
目的:探讨无痛支气管镜淋巴结针吸活检技术的应用价值.方法:对50例CT检查发现纵膈、肺门淋巴结肿大,但纤维支气管镜检查不能发现气管或支气管内新生物的患者,进行了无痛纤维支气管镜针刺吸引活检.结果:本组50例患者中48例获得明确诊断,肺癌37例,其中小细胞肺癌11例,鳞癌9例,腺癌17例;淋巴瘤1例;肺部良性疾病10例,其中结核病9例,结节病1例;2例无明确诊断.50例患者共穿刺108个部位,190针,其中穿刺成功148针.10例肺部良性疾病者镜检总结果均为阴性.37例诊断为肺癌的患者中,33例镜检总结果阳性,其中4例患者的TBNA镜检结果是唯一的病理学证据,其他检查均为阴性;4例患者为高度可疑病例.37例肺癌患者共穿刺84枚淋巴结,其中镜检结果阳性52枚.30例患者穿刺部位少量出血,不需特别处理,未影响其他操作.未发现气胸、纵膈大血管破裂、纵膈感染、纵膈气肿等不良反应.结论:无痛支气管镜淋巴结针吸活检技术是一项非常实用的临床诊疗技术,患者满意度高、操作方便、安全性好、阳性率高,较常规TBNA检查有明显的优势,值得临床推广.
目的:探討無痛支氣管鏡淋巴結針吸活檢技術的應用價值.方法:對50例CT檢查髮現縱膈、肺門淋巴結腫大,但纖維支氣管鏡檢查不能髮現氣管或支氣管內新生物的患者,進行瞭無痛纖維支氣管鏡針刺吸引活檢.結果:本組50例患者中48例穫得明確診斷,肺癌37例,其中小細胞肺癌11例,鱗癌9例,腺癌17例;淋巴瘤1例;肺部良性疾病10例,其中結覈病9例,結節病1例;2例無明確診斷.50例患者共穿刺108箇部位,190針,其中穿刺成功148針.10例肺部良性疾病者鏡檢總結果均為陰性.37例診斷為肺癌的患者中,33例鏡檢總結果暘性,其中4例患者的TBNA鏡檢結果是唯一的病理學證據,其他檢查均為陰性;4例患者為高度可疑病例.37例肺癌患者共穿刺84枚淋巴結,其中鏡檢結果暘性52枚.30例患者穿刺部位少量齣血,不需特彆處理,未影響其他操作.未髮現氣胸、縱膈大血管破裂、縱膈感染、縱膈氣腫等不良反應.結論:無痛支氣管鏡淋巴結針吸活檢技術是一項非常實用的臨床診療技術,患者滿意度高、操作方便、安全性好、暘性率高,較常規TBNA檢查有明顯的優勢,值得臨床推廣.
목적:탐토무통지기관경림파결침흡활검기술적응용개치.방법:대50례CT검사발현종격、폐문림파결종대,단섬유지기관경검사불능발현기관혹지기관내신생물적환자,진행료무통섬유지기관경침자흡인활검.결과:본조50례환자중48례획득명학진단,폐암37례,기중소세포폐암11례,린암9례,선암17례;림파류1례;폐부량성질병10례,기중결핵병9례,결절병1례;2례무명학진단.50례환자공천자108개부위,190침,기중천자성공148침.10례폐부량성질병자경검총결과균위음성.37례진단위폐암적환자중,33례경검총결과양성,기중4례환자적TBNA경검결과시유일적병이학증거,기타검사균위음성;4례환자위고도가의병례.37례폐암환자공천자84매림파결,기중경검결과양성52매.30례환자천자부위소량출혈,불수특별처리,미영향기타조작.미발현기흉、종격대혈관파렬、종격감염、종격기종등불량반응.결론:무통지기관경림파결침흡활검기술시일항비상실용적림상진료기술,환자만의도고、조작방편、안전성호、양성솔고,교상규TBNA검사유명현적우세,치득림상추엄.
Objective:To investigate the value of painless bronchoscopy lymph node needle aspiration biopsy technique.Methods:50 patients with CT examination found mediastinal and hilar lymph nodes,but can not find new organisms in the trachea or bronchus fiberoptic bronchoscopy in patients with biopsy of a painless fiberoptic bronchoscopy acupuncture attract.Results:48 cases for a clear diagnosis of 37 cases of lung cancer,including 11 cases of small cell lung cancer,9 cases of squamous cell carcinoma,adenocarcinoma 17 cases;Lymphoma 1 cases;10 cases of benign lung disease,including 9 cases of tuberculosis, sarcoidosis 1 cases;2 patients without a clear diagnosis.50 patients punctures were 108 parts,190-pin,148-pin successful puncture.10 patients with benign lung diseases by microscopic examination of the overall results were negative.37 cases the diagnosis of patients with lung cancer,33 cases of microscopic positive TBNA results of 4 patients only pathological evidence,other tests were negative;4 patients highly suspected cases.Puncture a total of 84 of 37 patients with lung cancer lymph node positive TBNA results 52.30 patients puncture site bleeding,do not need special treatment,and did not affect other operations.No pneumothorax, mediastinal large vascular rupture,mediastinal infection,mediastinal emphysema and other adverse reactions.Conclusion:Bronchoscopy painless lymph node needle biopsy technique in patients with known cases,a high degree of patient satisfaction,ease of operation,security,high accuracy.
