CAJ | 학술논문

目的：探讨彩色超声引导针吸活检术在晚期肺癌伴前纵隔淋巴结肿大诊断中的应用。方法对肺部肿块伴纵隔淋巴结肿大、支气管镜检查及反复痰脱落细胞检查未取得病理诊断的27例患者行彩超引导下前纵隔淋巴结穿刺活检。结果全部患者获得病理诊断结果，鳞状细胞癌9例，腺癌11例，小细胞肺癌6例，未分化癌1例。未发生气胸、纵隔气肿、穿刺部位出血及感染等常见并发症。结论超声引导针吸活检术在晚期肺癌伴前纵隔淋巴结肿大诊断中具有安全、准确、可靠、经济、易于开展的应用价值。
목적：탐토채색초성인도침흡활검술재만기폐암반전종격림파결종대진단중적응용。방법대폐부종괴반종격림파결종대、지기관경검사급반복담탈락세포검사미취득병리진단적27례환자행채초인도하전종격림파결천자활검。결과전부환자획득병리진단결과，린상세포암9례，선암11례，소세포폐암6례，미분화암1례。미발생기흉、종격기종、천자부위출혈급감염등상견병발증。결론초성인도침흡활검술재만기폐암반전종격림파결종대진단중구유안전、준학、가고、경제、역우개전적응용개치。
ABSTRACT:Objective To explore the diagnostic value of ultrasound-guided transbronchial needle aspiration in advanced stage lung cancer with anterior mediastinal lymphadenectasis. Methods Twenty-seven cases with anterior mediastinal lymphadenectasis not yet obtained pathologic diagnosis by bronchoscopy and repeated examination of sputum castoff cells were analyzed.Results Pathologic diagnosis was made in all patients,including squamous-celled carcinoma 9 cases,adenocarcinoma 11 cases,small cell carcinoma 6 cases,anaplastic carcinoma 1 case.None of the patients suffered from complications such as mediastinal emphysema, pneumothorax,or hemorrhage.Conclusion Ultrasound-guided transbronchial needle aspiration is a safe,accurate,dependable,economy and facility diagnostic method for some advanced stage lung cancer with anterior mediastinal lymphadenectasis.