超声支气管镜引导下的经支气管针吸活检对老年人肺癌的诊断价值  

Diagnostic value of endobronchial ultrasound-guided transbronchial needle aspiration in elderly patients with bronchogenic carcinoma

作　　者：肖奎[1] 蒋洁菡[2] 夏淑兰[1] 康乃馨[1] 石志辉[1] 周锐[1] 陈平[1] 

机构地区：[1]中南大学湘雅二医院呼吸内科,长沙410011 [2]长沙市中心医院呼吸内科

出　　处：《中华老年医学杂志》2014年第9期958-960,共3页Chinese Journal of Geriatrics

基　　金：卫生部国家临床重点专科建设项目、湖南省科学技术厅科技计划（2013FJ4071）;中南大学自由探索项目青年教师助推基金（2011QNZT175）

摘　　要：目的 评价超声支气管镜引导下的经支气管针吸活检EBUS-TBNA）对老年人肺癌的诊断价值和安全性. 方法 于2013年8月至2014年7月对31例胸部CT或正电子发射计算机断层显像（PET-CT）检查显示肺内占位伴多发纵膈淋巴结肿大的≥65岁的患者进行EBUS-TBNA,未采取现场细胞学方法进行检测. 结果 31例患者中男性26例,女性5例,年龄65～77岁,平均70.1岁.31例患者共穿刺70组淋巴结,肺内肿块4例.31例肺癌患者中通过EBUS-TBNA明确诊断29例,假阴性2例,敏感度为93.6％、特异度100.0％.本检查中全部患者均无严重并发症发生.结论 EBUS-TBNA是诊断老年人肺癌安全、有效的方法.Objective To evaluate the diagnostic value and safety of endobronchial ultrasoundguided transbronchial needle aspiration （EBUS-TBNA） in elderly patients with bronchogenic carcinoma.Methods From August,2013 and July,2014,31 patients aged 65 years and over with space-occupying mass and enlarged mediastinal lymph nodes detected by CT or positron emission tomography-computed tomography （PET-CT） underwent EBUS-TBNA.Rapid onsite cytology evaluation was not performed.Results There were 26 males and 5 females in this study,aged 65-77 years （70.1 years old on average）.In 31 patients,70 samples were obtained from lymph nodes （LNs） and 4 samples were obtained from intrapulmonary lesions.29 cases were diagnosed as lung cancer,and 2 cases had false-negative diagnoses.The sensitivity and specificity rates of EBUS-guided TBNA method were 93.6％ and 100.0％,respectively.No major complications were observed in this series.Conclusions EBUS-TBNA is an safe and effective method in diagnosing bronchogenic carcinoma in elderly patients.

关 键 词：肺肿瘤 支气管镜 活组织检查 针吸 

分 类 号：R734.2[医药卫生—肿瘤]