欢迎来到天天文库
浏览记录
ID:38138821
大小:436.47 KB
页数:6页
时间:2019-05-24
《气管内超声引导下针吸活检对肺门纵隔病变的诊断价值》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、万方数据·22虫堡缱垫塑哩咝苤查!!!!生!旦笙!!鲞笠!塑坠i!』!!!!!!曼塑E生旦!!!』业!!型!!!!:y!!:!!!堕!.!气管内超声引导下针吸活检对肺门纵隔病变的诊断价值顾晔姜格宁周晓姜洪斌任胜祥李爱武张海平汪浩【摘要】目的探讨气管内超声引导下针吸活检术(EBUS—TBNA)对肺门纵隔肿物的诊断价值。方法对837例胸部cT或正电子发射体层摄影术(PET)一CT提示肺门纵隔淋巴结肿大和(或)位于气管或支气管周围肿块的患者进行EBUS—TBNA检查。获取病理组织标本,同期进行有创检查或随访,得到最终结果,验证EBUS—TBNA的准确性。结果共穿刺淋巴结1631例次,平均1
2、.95次/例,穿刺成功率100%,其中4R组与7组淋巴结分别占穿刺总数的43%和34%,肺癌诊断率为94.11%;其中鳞癌89例,占19.22%;腺癌150例,占32.40%;小细胞癌109例,占23.54%;非小细胞癌一组织学类型不明确型44例,占9.50%;腺鳞癌35例,占7.56%;其他类型36例,占7.78%:结核病诊断率为85.50%;结节病诊断率为55.88%;经统计分析,得出EBUS—TBNA总体敏感度为94.02%,特异度为100%,阳性预测值100%,阴性预测值61.91%,准确率94.56%。除穿刺部位少许卅血外,无其他并发症,未见气胸、纵隔气肿、大血管损伤等严重
3、并发症。结论EBUS—TBNA作为一种微创,便利,低风险的操作,对于纵隔和肺门淋巴结以及肿块的穿刺诊断有着较高的实用价值。【关键词】淋巴结;活组织检查,针吸;腔内超声检查EvaluationofendobronchiaIultrasound-guidedtransbronchiaIneedleaspirationinthediagnosisofhilarandmediastinaltumorsGUYe.JIANGGe—ning.ZHOUXiao.JlANHGHang—bin。RENSheng—xiang,LlAi一"u,zHANGHal-ping,WANGHao.Dignose—ro
4、alTlt鹰Endoscope,ShanghaiPulmonaryHospital,TongfiUniversityMedicafSch001.Shanghai2D0钌3.C^inaCorrespondingauthor:WANGHao,Email:wangha021384313@hotmaiLcorn【Abstract】ObjectiveToexplorethediagnosticvaluesofendobronchialultrasound—guidedtransbronchialneedleaspirationfEBUS—TBNA1jnpatientswithhilarandm
5、ediastinaltumors.MethodsAtotalof837patientswithchestCTorPE7I’/CTconfirmedmediastinal/hilarlvmpha(1enopathvandortumorsin(oraround)thetracheaorbranchi.wereevaluatedbyEBUS—TBNAexamination.Pathologicalstudyorfollow—upvisitwascarriedoutinthesameperle(jtomakeafinaldiagnosis,andthereforetoverifvtheacc
6、uracyofEBUS—TBNA.ResultThestudvpuncturedl631lymphnodestotally.withanaverageof1.95timesperease.The4Rgroupandthe7thgroupoflyn)phnodesaccountedfor43%and34%,respectively.TheSuccessrateofTBNAwasl00%.Thediagnosisratesof1ungcancerwas94.11%.ofwhichsquamouscellcarcinomaaccountedfor19.22%(89eases),adenoc
7、arcinoma32.40%(150cases),smallcellcarcinoma23.54%(109cases).non—small(·eIlcarcinomaofunknownhistologicaItype9.50%(44cases).adenosquamouscarcinoma7.56%(35cases),andothertypes7.78%(36cases).Thediagnosisrateoftuberculosiswas85.50%.an
此文档下载收益归作者所有