经支气管镜针吸活检在纵隔疾病诊断中的价值  

Diagnostic value of transbronchial needle aspiration in paratracheal mediastinal lesions

作　　者：李洧[1] 李道卫[1] 叶茜[1] 高顺翠[1] 姜淑娟[1] 

机构地区：[1]山东大学附属省立医院呼吸内科,济南250021

出　　处：《山东大学学报（医学版）》2008年第11期1063-1065,1068,共4页Journal of Shandong University:Health Sciences

摘　　要：目的探讨经支气管镜针吸活检(TBNA)在纵隔疾病诊断中的价值。方法对168例CT扫描发现有纵隔病变患者,在支气管镜检查过程中完成TBNA操作,直接涂片送检。结果TBNA诊断阳性率为92.9%,其中恶性肿瘤81.0%。主要并发症为穿刺点少许出血,未出现纵隔气肿、感染等不良反应。结论TBNA创伤性小、安全性高,是诊断纵隔病变的有效方法。Objective To investigate the significance of transbronchial needle aspiration （TBNA） in diagnosing paratracheal mediastinal lesions. Methods TBNA procedures were performed by using a flexible bronchoscope in 168 consecutive patients who had a mediastinal mass diagnosed by CT. Results The positive diagnostic rate was 92.9 % for TBNA with a tumor diagnosis rate of 81.0%. A few patients had a httle bleeding at the puncture site without mediastinal emphysema or infection. Condusions TBNA is an effective and safe way for obtaining cytologic specimens from intra-thoracic lymph nodes and can rapidly provide diagnosis for paratracheal mediastinal lesions.

关 键 词：支气管镜 活组织检查 针吸 纵隔疾病 

分 类 号：R734.2[医药卫生—肿瘤]