内镜超声引导下细针穿刺术对纵隔良恶性病变的诊断价值  

Diagnostic value of endoscopic ultrasonography guided fine-needle aspiration in identifying mediastinal benign and malignant lesions

作　　者：裴雪侠 张海燕[1] 鹿博[1] 吴明波[1] 张辉[2] 

机构地区：[1]江苏省徐州市中心医院消化科,221009 [2]江苏省徐州市中心医院胸外科,221009

出　　处：《中国综合临床》2014年第11期1178-1180,共3页Clinical Medicine of China

摘　　要：目的 探讨内镜超声引导下的细针穿刺术（EUS-FNA）对纵隔良恶性病变的诊断价值.方法 PentaxEG3630U超声内镜及22G穿刺针（Wilson-CooK）,对22例纵隔占位患者行EUS-FNA.结果 EUS-FNA诊断为恶性肿瘤者15例,良性病变者6例,1例患者因未取得足够组织标本、后经手术确诊为小细胞癌.所有患者未出现任何与穿刺相关的并发症.结论 EUS-FNA在纵隔良恶性病变的诊断中是一准确、安全、实用的检查方法.Objective To evaluate the feasibility,safety and accuracy of endoscopic ultrasonography guided fine-needle aspiration（EUS-FNA） in patients with mediastinal benign and malignant lesions.Methods A linear array scanning endosonography （Pentax-EG3630U） and a 22-guage （Wilson-CooK） needle were used to perform EUS-FNA in 22 patients with mediastinal lesions.Results EUS-FNA revealed 15 patients with carcinoma and 6 cases with benign tumors,which were confirmed by mediastinoscopy.One patient was not diagnosed because of inadequate specimen.None of the patients had complications caused by any procedures.Conclusion EUS-FNA is safe,reliable and accurate in diagnosis of mediastinal benign and malignant lesions.

关 键 词：内镜超声 细针穿刺术 纵隔病变 诊断 

分 类 号：R734.5[医药卫生—肿瘤]