支气管内超声引导针吸活检术诊断纵隔及肺门占位病变价值  

Value of endobronchial ultrasound-guided transbronchial needle aspiration to the diagnosis of hilar and mediastinal tumors

作　　者：张文平[1,2] 刘继明 马芸 龚智泉[1,4] 齐咏[1,2] 马利军[1,2] 吴纪珍[1,2] 张罗献[1,2] 赵丽敏[1,2] 陈献亮[1,2] 

机构地区：[1]郑州大学人民医院 [2]河南省人民医院呼吸科,郑州450002 [3]巩义市人民医院呼吸科,河南巩义451200 [4]河南省人民医院病理科,郑州450003

出　　处：《中华实用诊断与治疗杂志》2015年第6期610-611,共2页Journal of Chinese Practical Diagnosis and Therapy

摘　　要：目的探讨支气管内超声引导针吸活检术(endobronchial ultrasound-guided transbronchial needle aspiration,EBUS-TBNA)在纵隔及肺门占位病变诊断中的应用价值。方法 111例纵隔或肺门占位患者行EBUS-TBNA检查,与最终临床诊断结果进行比较,观察EBUS-TBNA的诊断效能。结果临床诊断恶性肿瘤78例,结节病15例,结核13例,非特异性炎症4例,脓肿1例;EBUS-TBNA术中及术后未发生出血、感染、气胸等并发症;EBUS-TBNA诊断恶性肿瘤77例,肉芽肿性病变25例,阴性结果9例;与临床诊断结果进行对照,EBUS-TBNA诊断恶性病变的符合率为98.7%,诊断良性病变的符合率为75.8%。结论 EBUS-TBNA在纵隔及肺门占位病变,尤其是恶性病变的诊断中有较高价值。Objective To explore the values of endobronchial ultrasound-guided transbronchial needle aspiration（EBUSTBNA）to the diagnosis of hilar and mediastinal tumors.Methods A total of 111 patients with chest CT confirmed hilar and mediastinal tumors received EBUS-TBNA examination,which were compared with the pathological results to verify the accuracy of EBUS-TBNA.Results Clinical diagnostic results showed malignant tumor in 78 patients,sarcoidosis in15,tuberculosis in 13,nonspecific inflammation in 4,and abscess in 1.EBUS-TBNA diagnosed malignant tumor in 77,granulomatous in 25,and negative histopathologic results in 9.The diagnosis coincidence rate of EBUS-TBNA for malignant tumors was 98.7% and for benign tumors was 75.8%.No complications as hemorrhage,infection and pneumothorax occurred during and after operation.Conclusion EBUS-TBNA has a great value to the diagnosis of hilar and mediastinal tumors.

关 键 词：纵隔及肺门占位病变 淋巴结 活组织检查 针吸活检 腔内超声检查 

分 类 号：R563[医药卫生—呼吸系统]