| 经支气管镜针吸活检在纵隔疾病诊断中的价值 |
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| 引用本文： | 李洧,李道卫,叶茜,高顺翠,姜淑娟. 经支气管镜针吸活检在纵隔疾病诊断中的价值[J]. 山东大学学报(医学版), 2008, 46(11): 1063-1065 |
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| 作者姓名： | 李洧 李道卫 叶茜 高顺翠 姜淑娟 |
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| 作者单位： | 山东人学附属省立医院呼吸内科,济南,250021;山东人学附属省立医院呼吸内科,济南,250021;山东人学附属省立医院呼吸内科,济南,250021;山东人学附属省立医院呼吸内科,济南,250021;山东人学附属省立医院呼吸内科,济南,250021 |
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| 摘 要： | 目的探讨经支气管镜针吸活检（TBNA）在纵隔疾病诊断中的价值。方法对168例CT扫描发现有纵隔病变患者, 在支气管镜检查过程中完成TBNA操作，直接涂片送检。结果TBNA 诊断阳性率为92.9％，其中恶性肿瘤81.0％。主要并发症为穿刺点少许出血, 未出现纵隔气肿、感染等不良反应。结论TBNA 创伤性小、安全性高，是诊断纵隔病变的有效方法。
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| 关 键 词： | 支气管镜 活组织检查 针吸 纵隔疾病 |
| 收稿时间： | 2008-05-29 |
Diagnostic value of transbronchial needle aspiration in paratracheal mediastinal lesions |
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| LI Wei,LI Dao-wei,YE Qian,GAO Shun-cui,JIANG Shu-juan. Diagnostic value of transbronchial needle aspiration in paratracheal mediastinal lesions[J]. Journal of Shandong University:Health Sciences, 2008, 46(11): 1063-1065 |
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| Authors: | LI Wei LI Dao-wei YE Qian GAO Shun-cui JIANG Shu-juan |
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| Affiliation: | Department of Respiratory, Provincial Hospital Affiliated to Shandong University, Jinan 250021, China |
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| Abstract: | Objective To investigate the significance of transbronchial needle aspiration(TBNA) in diagnosing paratracheal mediastinal lesions.Methods TBNA procedures were performed by using a flexible bronchoscope in 168 consecutive patients who had a mediastinal mass diagnosed by CT.Results The positive diagnostic rate was 92.9% for TBNA with a tumor diagnosis rate of 81.0%.A few patients had a little bleeding at the puncture site without mediastinal emphysema or infection.Conclusions TBNA is an effective and safe way for obtaining cytologic specimens from intra-thoracic lymph nodes and can rapidly provide diagnosis for paratracheal mediastinal lesions. |
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| Keywords: | Bronchoscopes Biopsy needle Mediastinal diseases |
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