观察气道超声引导下经支气管透壁针吸活检诊断肺癌纵隔及肺门淋巴结转移的价值及安全性

目的观察气道超声引导下经支气管透壁针吸活检(EBUS-TBNA)诊断肺癌纵隔及肺门淋巴结转移的价值及安全性。方法50例肺癌纵隔及肺门淋巴结转移患者,均进行EBUS-TBNA诊断,对比诊断结果与病理结果。结果50例患者中,39例患者为恶性肿瘤,11例患者为良性病变;有6例患者在穿刺后产生气胸,压缩量<10%;痰中带血者33例;7例患者在穿刺过程中产生了血压升高、低氧血症以及一过性心动过速;未发生纵隔内出血、大咳血、纵隔气肿以及纵隔感染等严重并发症。结论在对肺癌纵隔及肺门淋巴结转移患者所进行的诊断中实行EBUS-TBNA,能够提高诊断的安全性和有效性,值得临床推广应用。

The value and safety of endobronchial ultrasound-guided transbronchial needle aspiration in the diagnosis of mediastinal and hilar lymph node metastasis of lung cancer

Objective To observe the value and safety of endobronchial ultrasound-guided transbronchial needle aspiration(EBUS-TBNA)in the diagnosis of mediastinal and hilar lymph node metastasis of lung cancer.Methods 50 cases of lung cancer with mediastinal and hilar lymph node metastasis were selected for EBUS-TBNA diagnosis,and the diagnosis results were compared with the pathological results.Results Among the 50 patients,39 patients had malignant tumors and 11 patients had benign lesions;6 patients developed pneumothorax after puncture,with a compression volume<10%;33 patients had blood in the sputum;7 patients developed elevated blood pressure,hypoxemia,and transient tachycardia during the puncture process.No serious complications such as mediastinal hemorrhage,hemoptysis,mediastinal emphysema,and mediastinal infection occurred.Conclusion Application of EBUS-TBNA in patients with mediastinal and hilar lymph node metastasis of lung cancer can improve the safety and effectiveness of diagnose,which is worthy of clinical promotion and application.