内镜超声检查在肺癌中的应用  

Application of endoscopic ultrasonography in pulmonary carcinoma

作　　者：李承红[1] 李红艳[1] 

机构地区：[1]江汉大学附属医院呼吸内科,湖北武汉430015

出　　处：《中国内镜杂志》2005年第12期1261-1262,1265,共3页China Journal of Endoscopy

摘　　要：目的评价内镜超声(endoscopicultrasonography,EUS)检查在肺癌的应用价值。方法采用PentaxFG-36UX内镜经食管超声检查肺癌32例。结果对32例肺癌患者EUS检查既了解病变纵隔浸润情况、纵隔病变与周围脏器的关系,又明确纵隔淋巴结转移数目,EUS检查肺癌纵隔浸润的准确率为87%,行内镜超声引导下细针吸取细胞学检查(endosonography-guidedfineneedleaspiration,EUSFNA)15例,阳性率86%、准确率为100%。结论EUS是一项先进、安全、对肺癌临床诊断有较大帮助的检查手段。[Objective] To evaluate the clinical value of endoscopic ultrasonography （EUS） in pulmonary disease. [Methods] PENTAX FG-36UX Type EUS was performed in 32 patients of pulmonary carcinoma. [Results] Detection of EUS in 32 patients with pulmonary carcinoma could help to understand the condition of mediastinal invasion, the relation between mediastinum and nearby organs, and also play a part in clarify the metastasis of mediastinal lymph node. The accuracy of EUS was 87%% in diagnosing pulmonary carcinoma with mediastinal invasion; the positive and the accuracy of endosonography-guided fine needle aspiration （EUS FNA） were 86% and 100%. [Conclusion] EUS is an advanced, safe procedure that helps more with clinical diagnosis of pulmonary carcinoma.

关 键 词：内镜超声 肺癌 

分 类 号：R734.2[医药卫生—肿瘤]