EBUS-TBNA结合ROSE对纵隔、肺门病变的临床意义  

The clinical significance of EBUS-TBNA combined with ROSE for mediastinal and hilar lesions

作　　者：张禄琴 晋凯 袁大青 王文[3] 李秀忠[3] ZHANG Luqin;JIN Kai;YUAN Daqing;WANG Wen;LI Xiuzhong(Jiangyou People’s Hospital,Mianyang 621700,China;The Fifth People’s Hospital of Ningxia Shizuishan 753000,China;General Hospital of Ningxia Medical University,Yinchuan 750004,China)

机构地区：[1]江油市人民医院,四川绵阳621700 [2]宁夏回族自治区第五人民医院,宁夏石嘴山753000 [3]宁夏医科大学总医院,宁夏银川750004

出　　处：《宁夏医学杂志》2021年第12期1073-1076,共4页Ningxia Medical Journal

摘　　要：目的探讨EBUS-TBNA结合ROSE对纵隔和(或)肺门病变患者的临床意义,为临床医生诊断纵隔和(或)肺门病变提供有效方法。方法收集胸部CT提示纵隔和(或)肺门或病变住院患者共100例,其中EBUS-TBNA组62人,EBUS-TBNA联合ROSE组38人。对2组患者一般情况、穿刺针数、并发症发生情况、最终病理诊断及最终诊断结果等进行回顾性分析。结果2组患者在穿刺针数上差异具有统计学意义(P<0.05)。EBUS-TBNA组灵敏度、特异度、阳性预测值、阴性预测值分别为73.7%、100%、100%、58.3%,EBUS-TBNA联合ROSE组灵敏度、特异度、阳性预测值、阴性预测值分别为89.7%、100%、100%、66.3%。结论在EBUS-TBNA基础上联合使用ROSE可减少中位穿刺针数,一定程度上减少了不必要的有创操作检查。Objective To explore the clinical value of EBUS-TBNA combined with ROSE in patients with mediastinal and hilar lesions,and to provide an effective method for the diagnosis of mediastinal and or hilar lesions.Methods A total of 100 inpatients were collected from the CT of the chest,including 62 patients in EBUS-TBNA group and 38 patients in EBUS-TBNA combined with ROSE group.The general condition of the patients,the number of puncture needles,the occurrence of complications,the final pathological diagnosis and the final diagnosis results of the two groups were analyzed retrospectively.Results There was a statistical difference in the number of puncture needles between the two groups(P<0.05).Positive predictive value and negative predictive value of EBUS-TBNA group were 73.7%,100%,100%,and 58.3%,respectively.The sensitivity,specificity,positive predictive value and negative predictive value of EBUS-TBNA combined with ROSE group were respectively 89.7%,100%,100%and 66.3%.Conclusion EBUS-TBNA combined with ROSE can reduce the number of median puncture needles and reduce unnecessary invasive examination to some extent.

关 键 词：EBUS-TBNA ROSE 纵隔病变 

分 类 号：R564[医药卫生—呼吸系统]