经支气管针吸活检术对肺部疾病的诊断价值

目的探讨经支气管针吸活检术(TBNA)对纵隔及肺门病灶、支气管黏膜下病灶的诊断价值。方法采用TBNA技术对59例伴有纵隔及肺门病灶、支气管黏膜下病灶的患者进行检查,观察其诊断的阳性率及安全性。结果 59例接受TB-NA的患者,共计穿刺89次,穿刺成功68次,穿刺成功率76.4%,确诊肺癌纵隔淋巴结转移26例,黏膜下腺癌1例,淋巴结结核5例,纵隔囊肿1例,纵隔淋巴结增生性炎症1例。结论 TBNA弥补了常规纤支镜检查的不足,对纵隔、肺门及支气管黏膜下病灶的诊断具有重要的应用价值,且TBNA安全性高,操作方便,费用低,值得临床推广应用。

Diagnostic value of transbronchial needle aspiration for lung diseases

Objective To explore the diagnostic value of transbronchial needle aspiration(TBNA) for the lesions in mediastina,pulmonary hilus and bronchial mucosa.Methods Fifty-nine patients with the lesions in mediastina,pulmonary hilus and bronchial mucosa underwent the diagnosis by TBNA.The positive rate and safety of TBNA were observed.Results In 59 patients with TBNA,a total of 89 punctures were recorded with 68 successful punctures(76.4%).Twenty-six mediastinal lymph node metastases of lung cancers,1 submucosal adenocarcinoma,5 lymph node tuberculosis,1 mediastinal cyst and 1 hyperplasia inflammation of mediastinal lymph node were diagnosed.Conclusion The TBNA makes up for the deficiencies of conventional bronchoscopy.It plays a remarkable role in the diagnosis of lesions in mediastina,pulmonary hilus and bronchial mucosa with high safety,easy operation and low cost,which is worthy of clinical application.