经支气管针吸术在肺癌诊断中应用的临床分析  

Clinical analysis of application of TBNA in diagnosis of lung cancer

作　　者：靳凤娟 

机构地区：[1]江苏省张家港市澳洋医院呼吸科,215600

出　　处：《齐齐哈尔医学院学报》2014年第20期3012-3013,共2页Journal of Qiqihar Medical University

摘　　要：目的分析经支气管针吸术在支气管腔外病变或伴有纵隔淋巴结肿大的肺癌诊断中的价值。方法回顾性总结分析60例对支气管腔外病变或纵隔淋巴结肿大的拟诊肺癌患者行TBNA检查的临床资料。结果 60例患者中TBNA检查确诊肺癌的有41例,阳性率68.33%(41/60),常规活检、刷检的阳性率分别为13.33%(8/60)、8.33%(5/60)。TBNA诊断阳性率分别高于常规活检、刷检,差异有统计学意义(P<0.05)。结论对于支气管腔外病变或纵隔淋巴结肿大的肺癌患者,TBNA是一种安全和有效的诊断方法,具有重要的临床应用价值。Objective To analyze the value of transbronchial needle aspiration （ TBNA ） in the diagnosis of extra bronchial lesions or lung cancer with mediastinal lymphadenectasis .Methods The clinical data of TBNA were analyzed retrospectively in sixty lung cancer patients ,who were suspected to have metastasis extra bronchial lesions or lung cancer with mediastinal lymphadenectasis .Results In sixty lung cancer patients , TBNA successfully detected 41, it showed a positive rate in 68.33%, in comparison to 13.33%（8/60） for routine transbronchial biopsy,8.33%（5/60）for bronchial brushing.TBNA was a useful technique compared with the two other methods（P〈0.05）.Conclusions To lung cancer patients, who were suspected to have metastasis extra bronchial lesions or mediastinal lymphadenectasis .TBNA is a safe and effective technique for diagnosis , it is important for clinical value .

关 键 词：支气管镜 针吸术 肺癌 诊断 

分 类 号：R734.204[医药卫生—肿瘤]