超声内镜引导下针吸活检诊断肺部实质性及纵隔病变  

Endoscopic ultrasonography guided fine-needle aspiration in dlagnosis of pulmonary and mediastinal disease

作　　者：杨力[1] 张立波[1] 郭光云[1] 王斌[2] 陈功[1] 邝军[1] 

机构地区：[1]郧阳医学院附属人民医院呼吸内科,湖北十堰442000 [2]郧阳医学院附属人民医院消化内科,湖北十堰442000

出　　处：《中国内镜杂志》2008年第1期82-84,87,共4页China Journal of Endoscopy

摘　　要：目的探讨超声内镜引导下的针吸活检术(EUS-FNA)诊断肺部实质性及纵隔病变的可行性及安全性。方法用上部消化道奥林巴斯超声电子内镜EU-C2000,FNA细针,对10例毗邻食管的肺实质性及纵隔病变患者行EUS-FNA。结果7例患者均一次即获得足够标本,2例患者经再次活检而获得足够标本供病理学检查,1例因拒绝再次活检而失败。病理诊断为结核瘤3例,肺腺癌2例,小细胞癌1例,肺炎性假瘤2例,淋巴结核1例。除了自行停止的少许咯血和自行吸收的气胸外,未出现其他严重的与穿刺相关的并发症。结论EUS-FNA是诊断纵隔及肺部实质性病变的直接、安全、实用的检查方法。[Objective] To access the feasibility, safety of endoscopic ultrasonography guided fine-needle aspiration（EUS-FNA）in patients with pulmonary and mediastinal diseases. [Methods] Using endosonography （EU-C2000） and a needle, EUS-FNA was performed in 10 patients. [Results] 7 patients was diagnosed with adequate specimen, 2 patients was diagnosed with another aspiration, 1 patient refused another aspiration. Pathological results revealed tuberculoma in 3 patients, small cell celcarcinoma in 1, and pulmonary inflammatory pseudotumor in 2. [Conclusion] EUS-FNA is a safe and useful method in diagnosis of pulmonary and mediastinal diseases.

关 键 词：肺实质 纵隔 针吸 超声胃镜检查 诊断 

分 类 号：R563[医药卫生—呼吸系统] R564[医药卫生—内科学]