气管内超声引导建隧活检术及规范操作要点  

EBUS-TDB,endobronchial ultrasound guided tunnel-drilling biopsy

作　　者：冯靖[1] 石瑜 FENG Jing;SHI Yu(Department of Respiratory and Critical Care Medicine,Tianjin Medical University General Hospital,Tianjin 300052,China)

机构地区：[1]天津医科大学总医院呼吸与危重症医学科,300052

出　　处：《天津医药》2021年第6期633-635,共3页Tianjin Medical Journal

基　　金：国家自然科学基金资助项目(81570084,81270144,30800507,81970083,82000097);十三五国家科技部支撑计划课题(2015BAI12B11)。

摘　　要：结节病、结核、肿瘤、淋巴结炎症等疾病可致肺门、纵隔淋巴结肿大,但其缺乏特征性临床表现及影像学改变,故确诊难度较大。气管内超声引导针吸活检(EBUS-TBNA)是在气管内超声(EBUS)引导下,对气管支气管外、肺门与纵隔、血管及淋巴结等组织进行分辨,穿刺病变组织,从而获取组织、细胞学病理诊断的介入呼吸病学技术。在EBUS-TBNA基础上,EBUS引导建隧活检术(EBUS-TDB)可进一步提高肺门及纵隔疾病诊断的敏感性和特异性。Sarcoidosis,tuberculosis,malignant tumor,lymphadenitis and other diseases can cause hilar and mediastinal lymphadenopathy,mainly including sarcoidosis,tuberculosis,tumor and lymphadenitis,but lack of characteristic clinical manifestations and imaging changes,so the diagnosis is more difficult.Endobronchial ultrasound guided transbronchial needle aspiration(EBUS-TBNA)is an interventional pulmonary technology for cytopathological or histopathological diagnosis by puncturing to obtain diseased tissues,which is guided by endobronchial ultrasound(EBUS)to distinguish the extratracheobronchial hilar and mediastinal lesions,blood vessels and lymph nodes.On the basis of EBUS-TBNA,endobronchial ultrasound guided tunnel-drilling biopsy(EBUS-TDB)can improve the sensitivity and specificity of diagnosis further for hilar and mediastinal diseases.

关 键 词：活组织检查 针吸 支气管镜检查 气管内超声引导建隧活检术 

分 类 号：R562[医药卫生—呼吸系统]