| 支气管内超声引导针吸活检术（EBUS-TBNA）临床应用的初步体会 |
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| 引用本文： | 赵辉,王俊,李剑锋,李运,周足力,卜梁. 支气管内超声引导针吸活检术（EBUS-TBNA）临床应用的初步体会[J]. 中国微创外科杂志, 2010, 10(2): 110-113 |
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| 作者姓名： | 赵辉 王俊 李剑锋 李运 周足力 卜梁 |
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| 作者单位： | 北京大学人民医院胸外科,北京,100044 |
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| 摘 要： | 目的探讨支气管内超声引导针吸活检术（endobronchial ultrasound-guided transbronchial needle aspiration,EBUS-TBNA）在明确纵隔和肺门肿大淋巴结定性诊断中的应用价值。方法2009年9~11月,对25例胸部CT检查提示纵隔和（或）肺门淋巴结肿大（短径〉1 cm）进行EBUS-TBNA检查,阴性者进一步接受纵隔镜检查或胸腔镜、开胸手术加以确证。结果本组25例共穿刺32组淋巴结。EBUS-TBNA明确淋巴结恶性转移者15例;EBUS-TBNA阴性者10例,其中1例开胸术后证实隆突下淋巴结转移。EBUS-TBNA在纵隔和肺门肿大淋巴结良恶性鉴别诊断中的敏感性、特异性和准确性分别为94%（15/16）,100%（9/9）和96%（24/25）。所有患者检查耐受良好,无任何相关并发症发生。结论EBUS-TBNA是评价纵隔及肺门淋巴结安全有效的方法。
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| 关 键 词： | 支气管内超声 经支气管针吸活检 淋巴结 诊断 |
Preliminary Experience on Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration(EBUS-TBNA) |
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| Zhao Hui,Wang Jun,Li Jianfeng,et al.. Preliminary Experience on Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration(EBUS-TBNA)[J]. Chinese Journal of Minimally Invasive Surgery, 2010, 10(2): 110-113 |
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| Authors: | Zhao Hui Wang Jun Li Jianfeng et al. |
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| Affiliation: | Zhao Hui,Wang Jun,Li Jianfeng,et al.Department of Thoracic Surgery,Renmin Hospital,Peking University,Beijing 100044,China |
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| Abstract: | Objective To assess the efficacy of endobronchial ultrasound-guided transbronchial needle aspiration(EBUS-TBNA) in the diagnosis of enlarged mediastinal and hilar lymph nodes.Methods From September 2009 to November 2009,25 patients with mediastinal and/or hilar lymphadenopathy(minimum diameter>1 cm) detected on chest CT scan were included in the study.All patients with negative EBUS-TBNA subsequently underwent mediastinoscopy,thoracoscopy,or open thoracotomy as a confirmatory test.Results In the 25 patients... |
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| Keywords: | Endobronchial ultrasound Transbronchial needle aspiration Lymph nodes Diagnosis |
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