经食管和经气管超声内镜引导下对纵隔及肺门病变穿刺的研究进展  

Transesophageal and trans-tracheal ultrasonography-guided puncture for mediastinal and hilar lesions

作　　者：沈妍华[1] 刘爱群[1] SHEN Yanhua;LIU Aiqun(Endoscopy Center,Affiliated Cancer Hospital of Guangxi Medical University,Nanning,Guangxi 530021,China)

机构地区：[1]广西医科大学附属肿瘤医院内镜中心,广西南宁530021

出　　处：《影像研究与医学应用》2024年第14期1-3,8,共4页Journal of Imaging Research and Medical Applications

基　　金：广西医科大学青年基金(GXMUYSF202361);广西卫健委自筹课题(Z20190606);广西医疗卫生重点培育学科建设项目。

摘　　要：纵隔及肺门占位性病变是临床上较常见的疾病。超声内镜引导的经支气管针吸活检(EBUS-TBNA)和超声内镜引导下的针吸活检(EUS-FNA)对纵隔及肺门病变诊断和外科手术、经支气管针吸活检、CT引导下经皮穿刺等方法比较均有明显的优势,同时也存在仪器耗材价格昂贵、人员培训缺乏评价标准及穿刺物量较少等问题。超声支气管镜经食管进行穿刺以及EBUS-TBNA和EUS-FNA联合多种基因在内的二代测序技术能够为患者提供更加舒适、快捷和精准的诊断。Mediastinal and hilar lesions are common clinical diseases,and endobronchial ultrasound-guided transbronchial needle aspiration(EBUS-TBNA)and endoscopic ultrasonography guided fine-needle aspiration(EUS-FNA)have obvious advantages over surgery,transbronchial needle aspiration biopsy,and CT-guided puncture in the diagnosis of mediastinal and hilar lesions,but there are also the problems of expensive instrumentation and consumables,lack of evaluation criteria for personnel training,and small amount of puncture material.Endoscopic transesophageal fine-needle aspiration using the bronchoscope endoscopic ultrasound fine-needle aspiration and second-generation sequencing technology including EBUS-TBNA and EUS-FNA combined with multiple genes can provide patients with more comfortable,quicker and precise diagnosis.

关 键 词：EBUS-TBNA EUS-FNA 纵隔及肺门病变 综述 

分 类 号：R445.1[医药卫生—影像医学与核医学]