重庆医学
重慶醫學
중경의학
Chongqing Medicine
2015年
30期
4219-4221
,共3页
支气管内超声检查%超声支气管镜引导下的经支气管针吸活检术%胸内肿块%纵隔淋巴结
支氣管內超聲檢查%超聲支氣管鏡引導下的經支氣管針吸活檢術%胸內腫塊%縱隔淋巴結
지기관내초성검사%초성지기관경인도하적경지기관침흡활검술%흉내종괴%종격림파결
endobronchial ultrasound%endobronchial ultrasound guided transbronchial needle aspiration%intrathoracic mass%mediastinal lymph node
目的：研究超声支气管镜引导下经支气管针吸活检术（EBUS‐TBNA ）在肺疾病的早期诊断中的高效性、安全性和并发症。方法选取2013年5月至2014年5月胸部CT提示胸内包块或纵隔淋巴结肿大的28例患者行EBUS‐TBNA ，穿刺标本行病理学检查。结果28例患者中23例行EBUS‐TBNA检查，EBUS‐TBNA诊断出肺癌患者10例，转移性肿瘤4例，淋巴瘤3例，结核病3例，结节病2例，炎性患者1例。EBUS‐TBNA诊断恶性肿瘤率高达74．0％，比预期诊断率明显升高（53．2％，P＜0．01）。EBUS‐TBNA诊断准确率：肺癌91．0％；淋巴瘤100．0％；转移性肿瘤75．0％；结核75．0％，结节病50．0％，炎性病变100．0％。所有行EBUS‐TBNA检查患者，仅有2例出现轻度缺氧，1例出现出血症状。结论 EBUS‐TBNA针对早期诊断呼吸疾病特别是纵隔肿块，是一种高效、微创、安全的检查手段。
目的：研究超聲支氣管鏡引導下經支氣管針吸活檢術（EBUS‐TBNA ）在肺疾病的早期診斷中的高效性、安全性和併髮癥。方法選取2013年5月至2014年5月胸部CT提示胸內包塊或縱隔淋巴結腫大的28例患者行EBUS‐TBNA ，穿刺標本行病理學檢查。結果28例患者中23例行EBUS‐TBNA檢查，EBUS‐TBNA診斷齣肺癌患者10例，轉移性腫瘤4例，淋巴瘤3例，結覈病3例，結節病2例，炎性患者1例。EBUS‐TBNA診斷噁性腫瘤率高達74．0％，比預期診斷率明顯升高（53．2％，P＜0．01）。EBUS‐TBNA診斷準確率：肺癌91．0％；淋巴瘤100．0％；轉移性腫瘤75．0％；結覈75．0％，結節病50．0％，炎性病變100．0％。所有行EBUS‐TBNA檢查患者，僅有2例齣現輕度缺氧，1例齣現齣血癥狀。結論 EBUS‐TBNA針對早期診斷呼吸疾病特彆是縱隔腫塊，是一種高效、微創、安全的檢查手段。
목적：연구초성지기관경인도하경지기관침흡활검술（EBUS‐TBNA ）재폐질병적조기진단중적고효성、안전성화병발증。방법선취2013년5월지2014년5월흉부CT제시흉내포괴혹종격림파결종대적28례환자행EBUS‐TBNA ，천자표본행병이학검사。결과28례환자중23례행EBUS‐TBNA검사，EBUS‐TBNA진단출폐암환자10례，전이성종류4례，림파류3례，결핵병3례，결절병2례，염성환자1례。EBUS‐TBNA진단악성종류솔고체74．0％，비예기진단솔명현승고（53．2％，P＜0．01）。EBUS‐TBNA진단준학솔：폐암91．0％；림파류100．0％；전이성종류75．0％；결핵75．0％，결절병50．0％，염성병변100．0％。소유행EBUS‐TBNA검사환자，부유2례출현경도결양，1례출현출혈증상。결론 EBUS‐TBNA침대조기진단호흡질병특별시종격종괴，시일충고효、미창、안전적검사수단。
Objective To research high efficiency ,safety and complications of transbronchial needle aspiration biopsy under the guidance of ultrasound bronchoscope (EBUS‐TBNA ) in the early stage diagnosis of pulmonary disease .Methods Totally 28 patients showed intrathoracic mass or mediastinal lymph nodes by chest CT treated from May 2013 to May 2014 underwent EBUS‐TBNA ,and conducted biopsy for pathological examination .Results Among all the 28 patients ,23 patients underwent EBUS‐ TB‐NA ,10 patients were diagnosed as lung cancer ,4 patients had metastatic tumors ,3 patients were diagnosed lymphoma ,3 people were tuberculosis ,2 people were sarcoidosis ,1 patients with inflammatory .The EBUS‐TBNA diagnosis rate of malignant tumor was 74 .0% ,and the diagnosis rate was significantly higher than expectation (53 .2% ,P<0 .01) .The accuracy of EBUS‐TBNA diagno‐sis was as follow :91 .0% for lung cancer ,100 .0% for lymphoma ,75 .0% for metastatic tumor;75 .0% for tuberculosis ,50 .0% for sarcoidosis ,and 100 .0% for inflammatory lesions .Among all EBUS‐TBNA patients ,only two patients had mild hypoxia and one patient had bleeding .Conclusion EBUS‐TBNA was an effective ,minimally invasive ,safe means of inspection for the early diagnosis of respiratory diseases ,especially of mediastinal mass .
