电视纵隔镜在纵膈肿物、肺癌中的诊断价值  

Diagnostic value of video assisted mediastinoscopy in mediastinal mass and lung cancer

作　　者：郭建荣 GUO Jian-rong(Department of Thoracic Surgery,Ganxi Cancer Hospital of Pingxiang City,Jiangxi Province,Pingxiang337000,China)

机构地区：[1]江西省萍乡赣西肿瘤医院胸外科,江西萍乡337000

出　　处：《中国当代医药》2020年第20期96-98,102,共4页China Modern Medicine

基　　金：江西省卫生计生委科技计划项目(20197316)。

摘　　要：目的探讨电视纵隔镜手术(VAM)在纵膈肿物、肺癌诊断中的应用价值。方法选取我院2016年2月~2019年6月高度怀疑的纵膈肿物、肺癌患者各40例,均行VAM与支气管内超声引导针吸活检术(EBUS-TBNA),以术后石蜡切片病理结果为“金标准”,分别计算两种手术诊断纵膈肿物、肺癌的准确性、灵敏性、特异性,并统计并发症发生率。结果VAM诊断纵膈肿物和肺癌的灵敏性、准确性均高于EBUS-TBNA,差异有统计学意义(P<0.05);两种检查方法的声嘶、气胸、感染、大出血发生率比较,差异无统计学意义(P>0.05)。结论VAM诊断纵膈肿物、肺癌相比EBUS-TBNA灵敏性、准确性更高,且不增加并发症发生风险,值得临床推广。Objective To explore the diagnostic value of video assisted mediastinoscopy(VAM)in mediastinal mass and lung cancer.Methods A total of 40 patients with high suspicion of mediastinal mass and 40 patients with high suspicion of lung cancer who were admitted to our hospital between February 2016 and June 2019 were enrolled in the study.All subjects underwent VAM and endobronchial ultrasound-guided transbronchial needle aspiration(EBUS-TBNA).Taking the pathological results of paraffin sections as the golden standard,the accuracy rates,sensitivities and specificities of the two surgeries in the diagnosis of mediastinal mass and lung cancer were calculated,the incidence rate of complications was statistically analyzed.Results The sensitivity and accuracy of VAM in the diagnosis of mediastinal mass and lung cancer were higher than those of EBUS-TBNA,the differences were statistically significant(P<0.05).There were no significant difference in the incidence rates of hoarseness,pneumothorax,infection or massive hemorrhage between the two examination methods(P>0.05).Conclusion The sensitivity and accuracy of VAM are higher than those of EBUS-TBNA in the diagnosis of mediastinal mass and lung cancer,without increasing the risk of complications,and it is worthy of clinical promotion.

关 键 词：纵膈肿物 肺癌 电视纵隔镜手术 支气管内超声引导针吸活检术 

分 类 号：R734.5[医药卫生—肿瘤]