经气管镜超声引导针吸活检术(EBUS-TBNA)诊断纵膈淋巴结的初步应用

被引：32

作者：

胡鸿 ^{[1
]}

周贤 ^{[1
]}

陈海泉 ^{[1
]}

平波 ^{[2
]}

冯丽青 ^{[2
]}

罗晓阳 ^{[1
]}

杨富 ^{[1
]}

沈磊 ^{[2
]}

机构：

[1] 复旦大学附属肿瘤医院胸外科,复旦大学上海医学院肿瘤学系

[2] 复旦大学附属肿瘤医院病理科,复旦大学上海医学院肿瘤学系

来源：

中国癌症杂志 | 2009年 / 19卷 / 07期

关键词：

经气管镜超声引导针吸活检术; 纵隔淋巴结; 诊断;

D O I：

暂无

中图分类号：

R445.1 [超声波诊断]; R446.8 [组织学检验];

学科分类号：

100207 ; 100208 ;

摘要：

背景与目的:经气管镜超声引导针吸活检术(endobronchial ultrasound-guided transbronchial needle aspiration,EBUS-TBNA)是用于诊断纵隔淋巴结等病变的最新微创检查方法。本研究旨在评价EBUS-TBNA用于纵隔淋巴结定性诊断的价值。方法:2009年4月1日—2009年7月16日之间,共计20例纵隔淋巴结肿大患者接受EBUS-TBNA检查。总结穿刺结果,评价该方法的应用价值。结果:20例患者共穿刺淋巴结37组,穿刺成功率100%,未发生并发症。EBUS-TBNA检查总体准确率90.00%(其中上皮性癌诊断准确率100%),灵敏度84.62%,特异度100%,阳性预测值100%,阴性预测值77.78%。每组淋巴结平均操作时间为11.9min。20例患者术后住院1～17d,中位住院1d。前3例患者各组平均操作时间为36.25min,后17例患者各组平均操作时间为7.76min,两者差异具有显著性(z=3.247,P=0.001)。结论:EBUS-TBNA检查安全性好,准确率高,是用于纵隔淋巴结定性诊断的较好方法。

引用

页码：523 / 527

页数：5

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