中国微创外科杂志
中國微創外科雜誌
중국미창외과잡지
CHINESE JOURNAL OF MINIMALLY INVASIVE SURGERY
2015年
4期
324-328
,共5页
李辑伦%赵辉%隋锡朝%周足力%王俊
李輯倫%趙輝%隋錫朝%週足力%王俊
리집륜%조휘%수석조%주족력%왕준
支气管内超声%经支气管针吸活检%结节病%诊断
支氣管內超聲%經支氣管針吸活檢%結節病%診斷
지기관내초성%경지기관침흡활검%결절병%진단
Endobronchial ultrasound%Transbronchial needle aspiration%Sarcoidosis%Diagnosis
目的:评价支气管内超声引导针吸活检术( endobronchial ultrasound-guided transbronchial needle aspiration ,EBUS-TBNA)对于临床诊断Ⅰ、Ⅱ期胸部结节病的应用价值。方法回顾性分析2009年9月~2013年9月我院92例拟诊Ⅰ期或Ⅱ期胸部结节病并接受EBUS-TBNA的患者的临床资料。 EBUS-TBNA未能明确诊断者,进一步接受外科手术活检或随诊至少6个月。结果92例患者经EBUS-TBNA活检232组淋巴结,其中纵隔淋巴结161组(69.4%),肺门及叶间淋巴结71组(30.6%)。最终诊断胸部结节病71例,其中经EBUS-TBNA明确诊断64例(90.1%)。 EBUS-TBNA诊断Ⅰ、Ⅱ期胸部结节病的敏感性、特异性、准确率、阳性预测值和阴性预测值分别为90.1%(64/71)、100%(21/21)、92.4%(85/92)、100%(64/64)和75%(21/28)。所有患者检查耐受良好,无相关并发症发生。结论 EBUS-TBNA对于Ⅰ、Ⅱ期胸部结节病是一种安全有效的诊断方法。
目的:評價支氣管內超聲引導針吸活檢術( endobronchial ultrasound-guided transbronchial needle aspiration ,EBUS-TBNA)對于臨床診斷Ⅰ、Ⅱ期胸部結節病的應用價值。方法迴顧性分析2009年9月~2013年9月我院92例擬診Ⅰ期或Ⅱ期胸部結節病併接受EBUS-TBNA的患者的臨床資料。 EBUS-TBNA未能明確診斷者,進一步接受外科手術活檢或隨診至少6箇月。結果92例患者經EBUS-TBNA活檢232組淋巴結,其中縱隔淋巴結161組(69.4%),肺門及葉間淋巴結71組(30.6%)。最終診斷胸部結節病71例,其中經EBUS-TBNA明確診斷64例(90.1%)。 EBUS-TBNA診斷Ⅰ、Ⅱ期胸部結節病的敏感性、特異性、準確率、暘性預測值和陰性預測值分彆為90.1%(64/71)、100%(21/21)、92.4%(85/92)、100%(64/64)和75%(21/28)。所有患者檢查耐受良好,無相關併髮癥髮生。結論 EBUS-TBNA對于Ⅰ、Ⅱ期胸部結節病是一種安全有效的診斷方法。
목적:평개지기관내초성인도침흡활검술( endobronchial ultrasound-guided transbronchial needle aspiration ,EBUS-TBNA)대우림상진단Ⅰ、Ⅱ기흉부결절병적응용개치。방법회고성분석2009년9월~2013년9월아원92례의진Ⅰ기혹Ⅱ기흉부결절병병접수EBUS-TBNA적환자적림상자료。 EBUS-TBNA미능명학진단자,진일보접수외과수술활검혹수진지소6개월。결과92례환자경EBUS-TBNA활검232조림파결,기중종격림파결161조(69.4%),폐문급협간림파결71조(30.6%)。최종진단흉부결절병71례,기중경EBUS-TBNA명학진단64례(90.1%)。 EBUS-TBNA진단Ⅰ、Ⅱ기흉부결절병적민감성、특이성、준학솔、양성예측치화음성예측치분별위90.1%(64/71)、100%(21/21)、92.4%(85/92)、100%(64/64)화75%(21/28)。소유환자검사내수량호,무상관병발증발생。결론 EBUS-TBNA대우Ⅰ、Ⅱ기흉부결절병시일충안전유효적진단방법。
Objective To evaluate the usefulness of endobronchial ultrasound-guided transbronchial needle aspiration ( EBUS-TBNA) in the diagnosis of stage Ⅰand Ⅱthoracic sarcoidosis . Methods A total of 92 patients with suspected stage ⅠandⅡsarcoidosis in our hospital between September 2009 and September 2013 were studied.All the patients underwent EBUS-TBNA. Those with undetermined diagnosis then underwent surgical biopsies or were followed up for at least 6 months. Results EBUS-TBNA was performed in 232 lymph node stations of the 92 patients, 161 (69.4%) of which were located at mediastinum and 71 (30.6%) of which at hilar and interlobar region .Of the 92 patients, 71 were diagnosed as having sarcoidosis , 64 (90.1%) of which were diagnosed with EBUS-TBNA.The sensitivity, specificity, accuracy, positive and negative predictive value of EBUS-TBNA in the diagnosis of stage Ⅰand Ⅱthoracic sarcoidosis were 90.1% (64/71), 100% (21/21), 92.4% (85/92), 100% (64/64) and 75%(21/28), respectively.The procedure was well tolerated by all the patients with no complications observed . Conclusion EBUS-TBNA is an accurate and safe method in the diagnosis of stage ⅠandⅡthoracic sarcoidosis .