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超声支气管镜引导下的经支气管针吸活检术的临床应用分析 预览 被引量:4

Analysis of clinical application of endobronchial ultrasound-guided transbronchial needle aspiration
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摘要 目的 研究超声支气管镜引导下的经支气管针吸活检术(EBUS-TBNA)在肺恶性肿瘤及纵隔肿物中的诊断价值及安全性。方法 分析我科2013年10月至2015年10月经胸部CT发现肺门、纵隔淋巴结肿大或气管支气管旁肿物的94例患者行EBUS-TBNA检查结果。结果 94例患者中确诊肺恶性肿瘤80例;共穿刺150组淋巴结,每组平均穿刺2.4针,对肺恶性肿瘤的诊断敏感性为93.02%,特异性为100%,准确性为93.62%;4例患者临床诊断结节病;4例患者临床诊断淋巴结炎。结论 EBUS-TBNA在纵隔、肺门淋巴结和气管支气管旁肿物的诊断和肺恶性肿瘤的分期上有较高的敏感性、特异性、准确性和安全性,是经济有效的诊断方法。 Objective To analyze the diagnostic value and safety of endobronchial ultrasound-guided transbronchial needle aspiration ( EBUS-TBNA) for lung cancer and mediastinal lesions.Methods 94 pa-tients with mediastinal , hilar lymph node or the mass beside main trachea or bronchus were found by chest CT under -went the diagnosis by EBUS-TBNA from October 2013 to October 2015.The sensitivity, specificity and diagnostic ac-curacy of EBUS-TBNA were evaluated .Results In the 94 patients, 80 cases were confirmed as malignant tumor by pathologically.EBUS-TBNA was successfully performed to obtain samples from 150 stations of lymph nodes, 2.4 puncture per station .The diagnostic sensitivity , specificity and accuracy were 93.02%, 100% and 93.62%, re-spectively .4 cases were clinically diagnosed as sarcoidosis , and 4 patients were clinically diagnosed as lymphnoditis . Conclusion EBUS-TBNA has higher sensitivity , specificity , accuracy and safety in diagnosis of mediastinal , hilar lymph node or the mass beside main trachea or bronchus and staging of lung cancer , and it is an economic and effec-tive diagnosis method .
作者 费黎明 孙耕耘 费广鹤 徐爱晖 尤青海 王苒 FEI Li-ming, SUN Geng-yun, FEI Guang-he, XU Ai-hui, YOU Qing-hai, WANG Ran (Department of Respiratory Medicine, the First Affiliated Hospital of Anhui Medical University, Hefei, Auhui 230022, China)
出处 《临床肺科杂志》 2016年第9期1679-1682,共4页 Journal of Clinical Pulmonary Medicine
关键词 超声支气管镜 经支气管针吸活检术 纵隔肿物 淋巴结 EBUS TBNA mediastinal mass lymph node
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参考文献11

  • 1Yasufuku K,Chivo M,Sekine Y,et al.Real-time endobronchial ultrasound-guided transbronchial needle aspiration of mediastinal and hilar lymph nodes[J].Chest,2004,126(1):122-128. 被引量:1
  • 2韩宝惠,孙加源.超声支气管镜引导下的经支气管针吸活检在呼吸疾病的应用[J].中华结核和呼吸杂志,2010,33(9):641-642. 被引量:15
  • 3The IASLC Lung Cancer Staging Project A Proposal for a new international lymph node map in the forthcoming seventh edition of the TNM classification for lung cancer[J].J Thorac Oncol,2009,5(4):568-577. 被引量:1
  • 4Yarmus LB,Akulian J,Lechtzin N,et al.Comparison of 21-gauge and 22-gauge aspiration needle in endobronchial ultrasound-guided transbronchial needle aspiration:results of the American College of Chest Physicians Quality Improvement Registry,Education,and Evaluation Registry[J].Chest,2013,143(4):1036-43. 被引量:1
  • 5Low A,Medford AR.Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration[J].Rev Recent Clin Trials,2013,64(13):1773-1783. 被引量:1
  • 6Medford AR,Bennett JA,Free CM,et al.Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration[J].Postgrad Med J,2010,86(1012):106-115. 被引量:1
  • 7Szlubowski A,Herth FJ,Soja J,et al.Endobronchial UltrasoundGuided Transbronchial Needle Aspiration in Non-Small-Cell Lung Cancer Restaging Verified by the Transcervical Bilateral Extended Mediastinal Lymphadenectomy-a Prospective Study[J].Eur J Cardiothorac Surg,2010,37(5):1180-1184. 被引量:1
  • 8Yasufuku K,Pierre A,Darling G,et al.A prospective controlled trial of endobronchial ultrasound-guided.transbronchial needle aspiration compared with mediastinoscopy for mediastinal lymph node staging of lung cancer[J].Thorac Cardiovasc Surg,2011,142(6):1393-1400. 被引量:1
  • 9Herth FJ,Eberhardt R,Vilmann P,et al.Real-time endobronchial ultrasound guided transbronchial needle aspiration for sampling mediastinal lymph nodes[J].Thorax,2006,61(9):795-798. 被引量:1
  • 10孙加源,赵珩,韩宝惠.超声支气管镜引导下的经支气管针吸活检(EBUS-TBNA)322例临床分析.中华医学会第五届全国胸部肿瘤及内窥镜学术会议论文汇编[C],2011年. 被引量:1

二级参考文献24

  • 1柯明耀,姜燕,谢红旗,陈玲玲,王珠缎.气道内超声检查引导经支气管针吸活检的价值探讨[J].临床肺科杂志,2006,11(1):71-72. 被引量:2
  • 2Herth FJ,Eberhardt R,Vilmann P,et al.Real-time endobronchial ultrasound guided transbronchial needle aspiration for sampling mediastinal lymph nodes.Thorax,2006,61:795-798. 被引量:1
  • 3Tournoy KG,Rintoul RC,van Meerbeeck JP,et al.EBUS-TBNA for the diagnosis of central parenchymal lung lesions not visibleat routine bronchoscopy.Lung Cancer,2009,63:45-49. 被引量:1
  • 4Nakajima T,Yasufuku K,Fujiwara T,et al.Endobronchial ultrasound-guided transbronchial needle aspiration for the diagnosis of intrapulmonary lesions.J Thorac Oncol,2008,3:985-988. 被引量:1
  • 5Anantham D,Siyue MK,Ernst A.Endobronchial ultrasound.Respir Med,2009,103:1772-1773. 被引量:1
  • 6Rusch VW,Crowley J,Giroux DJ,et al.The IASLC Lung Cancer Staging Project:proposals for the revision of the N descriptors in the forthcoming seventh edition of the TNM classification for lung cancer.J Thorac Oncol,2007,2:603-612. 被引量:1
  • 7吴一龙 蒋国梁 廖美琳等.非小细胞肺癌ⅢA期N2之处理[J].循证医学,2008,8:113-117. 被引量:3
  • 8Yasufuku K,Nakajima T,Motoori K,et al.Comparison of endobronchial ultrasound,positron emission tomography,and computed tomography for lymph node staging of lung cancer.Chest,2006,130:710-718. 被引量:1
  • 9Yasufuku K,Quadri M,de Perrot M,et al.A prospective controlled trial of endobronchial ultrasound guided transbronchial needle aspiration compared to mediastinoscopy for mediastinal lymph node staging of lung cancer.Presented at the Western Thoracic Surgical Association 33rd Annual Meeting,2007. 被引量:1
  • 10Ernst A,Anantham D,Eberhardt R,et al.Diagnosis of mediastinal adenopathyreal-time endobronchial ultrasound guided needle aspiration versus mediastinoscopy.J Thorac Oncol,2008,3:577-582. 被引量:1

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