CAJ | 학술논문

目的探讨内镜超声引导下的细针穿刺术(EUS-FNA)对纵隔良恶性病变的诊断价值.方法 PentaxEG3630U超声内镜及22G穿刺针(Wilson-CooK),对22例纵隔占位患者行EUS-FNA.结果 EUS-FNA诊断为恶性肿瘤者15例,良性病变者6例,1例患者因未取得足够组织标本、后经手术确诊为小细胞癌.所有患者未出现任何与穿刺相关的并发症.结论 EUS-FNA在纵隔良恶性病变的诊断中是一准确、安全、实用的检查方法.
목적 탐토내경초성인도하적세침천자술(EUS-FNA)대종격량악성병변적진단개치.방법 PentaxEG3630U초성내경급22G천자침(Wilson-CooK),대22례종격점위환자행EUS-FNA.결과 EUS-FNA진단위악성종류자15례,량성병변자6례,1례환자인미취득족구조직표본、후경수술학진위소세포암.소유환자미출현임하여천자상관적병발증.결론 EUS-FNA재종격량악성병변적진단중시일준학、안전、실용적검사방법.
Objective To evaluate the feasibility,safety and accuracy of endoscopic ultrasonography guided fine-needle aspiration(EUS-FNA) in patients with mediastinal benign and malignant lesions.Methods A linear array scanning endosonography (Pentax-EG3630U) and a 22-guage (Wilson-CooK) needle were used to perform EUS-FNA in 22 patients with mediastinal lesions.Results EUS-FNA revealed 15 patients with carcinoma and 6 cases with benign tumors,which were confirmed by mediastinoscopy.One patient was not diagnosed because of inadequate specimen.None of the patients had complications caused by any procedures.Conclusion EUS-FNA is safe,reliable and accurate in diagnosis of mediastinal benign and malignant lesions.