CT引导下经气管镜行纵隔肿大淋巴结针吸活检术探讨  

CT guided transbronchial needle aspiration for mediastinal enlargement lymph nodes

作　　者：许承琼[1] 钟国华[1] 何小娟[1] 刘建鹏[1] 庞剑锋 Xu Chengqiong;Zhong Guohua;He Xiaojuan;Liu Jianpeng;Pang Jianfeng(Department of Respiratory Medicine,the First People's Hospital of Qinzhou City in Guangxi Province·the Tenth Hospital Affiliated to Guangxi Medical University(Qinzhou)535000)

机构地区：[1]广西钦州市第一人民医院呼吸内科.广西医科大学附属第十医院,钦州535000

出　　处：《中国社区医师》2018年第22期99-100,共2页Chinese Community Doctors

基　　金：钦州市科技局科技攻关项目(201514920)~~

摘　　要：目的:探讨在CT定位下经支气管镜针吸活检(CT-TBNA)对纵隔肿大淋巴结诊断的价值。方法:在胸部CT片定位下,对纵隔肿大淋巴结合并管腔内病变11例及纵隔肿大淋巴结合并管腔外病变30例患者行支气管镜检查及经支气镜针吸活检(TBNA),观察支气管镜检查及两者联合检查的阳性结果。结果:支气管镜检查阳性6例,两者联合检查阳性36例。结论:支气管镜检查联合TBNA检查使纵隔肿大淋巴结患者的阳性率明显提高。Objective:To evaluate the diagnostic value of CT guided transbronchial needle aspiration(CT-TBNA)for mediastinal enlarged lymph nodes.Methods:11 cases of mediastinal swollen lymph nodes combined with intraluminal lesions,and 30 cases of mediastinal swollen lymph nodes with extraluminal lesions were examined by bronchoscopy and bronchoscopic needle aspiration biopsy(TBNA),and the positive results of bronchoscopy and combined examination were observed on the chest CT location.Results:6 cases were positive by bronchoscopy,and 36 cases were positive by combined examination.Conclusion:Bronchoscopy combined with TBNA examination can improve the positive rate of mediastinal lymph nodes.

关 键 词：CT定位 支气管针吸活检术 纵隔肿大淋巴结 

分 类 号：R564[医药卫生—呼吸系统]