超声引导下经支气管针吸活检在纵隔囊肿诊治中的应用(附4例报告)  

Clinical application of endobronchial ultrasound-guided transbronchial needle aspiration in mediastinal cysts(4 cases)

作　　者：柳威[1] 王咏雪 李芸[1] 吴怀球[1] 陈令佳 刘志光[1] 张卫东[1] Wei Liu;Yong-xue Wang;Yun Li;Huai-qiu Wu;Ling-jia Chen;Zhi-guang Liu;Wei-dong Zhang(Department of Pulmonary and Critical Care Medicine,Hunan Provincial People’s Hospital(The First Affiliated Hospital of Hunan Normal University),Changsha,Hunan 410005,China;Department of Pulmonary and Critical Care Medicine,Yueyang Central Hospital,Yueyang,Hunan 414000,China)

机构地区：[1]湖南省人民医院(湖南师范大学附属第一医院)呼吸与危重症医学科,湖南长沙410005 [2]岳阳市中心医院呼吸与危重症医学科,湖南岳阳414000

出　　处：《中国内镜杂志》2023年第4期86-90,共5页China Journal of Endoscopy

基　　金：湖南省省属省管医院重点临床专科建设及技术创新项目(No:湘卫财务发[2019]4号);湖南省卫生健康委员会指导项目(No:202203023890)。

摘　　要：目的 总结超声引导下经支气管针吸活检(EBUS-TBNA)在纵隔囊肿治疗中的应用,以提高临床医生的认识。方法 回顾性分析该院4例接受EBUS-TBNA诊治的纵隔囊肿患者的临床资料,并复习EBUS-TBNA诊治纵隔囊性病变应用的相关文献,总结其临床应用及常见并发症。结果 4例纵隔囊性病变经气道内超声均可明确囊肿的诊断,通过对其囊液的分析,2例能够明确囊肿来源,1例出现了严重的感染相关并发症。结论 EBUS-TBNA可以作为纵隔囊性病变的有效诊断和治疗工具,但有可能出现严重的感染相关并发症,临床应用过程中,应选择合适的患者,严格把握无菌原则。Objective To summarize the application of endobronchial ultrasound-guided transbronchial needle aspiration(EBUS-TBNA)in mediastinal cysts,and improve the understanding of the application of EBUS-TBNA in mediastinal cysts.Methods The clinical data of 4 cases with mediastinal cysts treated by EBUS-TBNA were retrospectively analyzed,and the relevant literatures on the application of EBUS-TBNA in mediastinal cystic lesions were reviewed to summarize the application and common complications.Results The diagnosis of mediastinal cysts were confirmed by ultrasound in all four cases of mediastinal cystic lesions,the source of the cysts could be clarified in two cases by analysis of the cystic fluid,and one case had severe infection-related complications.Conclusion EBUS-TBNA is a useful diagnostic and therapeutic tool for the management of mediastinal cysts.However,considering the possibility of serious complications,clinical application should be carried out scrupulously with appropriate patient selection and strict aseptic principles.

关 键 词：超声引导下经支气管针吸活检 纵隔囊肿 诊断 治疗 并发症 

分 类 号：R734.5[医药卫生—肿瘤]