经纤维支气管镜针吸活检术在纵隔病变中的诊断价值  

Significance of transbronchial needle aspiration (TBNA) in diagnosing paratracheal mediastinal lesions

作　　者：刘淑红[1] 成炜[1] 葛玉香[1] 杜春华[1] 胡晓玲[1] 

机构地区：[1]青岛大学医学院附属医院呼吸科,山东青岛266003

出　　处：《中国内镜杂志》2007年第9期960-962,965,共4页China Journal of Endoscopy

摘　　要：目的探讨经纤维支气管镜针吸活检(TBNA)对纵隔病变的诊断价值。方法对201例肺CT检查显示气管、支气管旁纵隔病变的患者进行气管镜针吸活检。结果TBNA诊断阳性率为61.19%(123/201),恶性肿瘤的诊断符合率79.71%(110/138),良性病变诊断符合率23.21%(13/56)。主要并发症为穿刺点少许出血,占64.18%(129/201)。结论经纤维支气管镜针吸活检术是诊断气管旁纵隔病变安全、有效的方法。[Objective] To explore the significance of transbronchial needle aspiration （TBNA） in diagnosing paratracheal mediastinal lesions. [Methods] TBNA was performed in 201 patients with mediastinal mass diagnosed by CT. [Results] The positive dignostic rate was 61.19%（123/201） for TBNA, the correct dignosis of turner was 79.71%（110/138） and the correct dignosis of benign diseases was 23.21%（13/56） for TBNA. 64.18% of patients had a little bleeding in punture site. [Conclusion] TBNA is an effective and safe method for diagnosing mediastinal diseases.

关 键 词：支气管镜 针吸活检 纵隔病变 

分 类 号：R734.5[医药卫生—肿瘤]