摘要
目的研究胸部CT影像学支持下电子支气管镜纵隔淋巴结针吸活检术的应用和临床效果。方法研究通过将我院2009年1月～2011年12月接诊的纵隔淋巴结肿大的患者42例作为研究对象，使用电子支气管镜下针吸活检对纵隔淋巴结肿大的病因诊断率达近70％。结果经活检病理学分析作出诊断的纵隔淋巴结为29例，诊断率为69．05％，13例为未明确诊断。其中恶性肿瘤最多有21例，占总数的50％。所有42例患者均无严重并发症而终止手术。结论电子支气管镜在胸部CT影像学支持下纵隔淋巴结针吸活检，诊断率高，适合疾病的诊断及肿瘤分期，是一种值得推广的诊断技术。
Objective To study the clinical application of CT - guided transbronchial needle aspiration biopsy of me- diastinal lymph nodes（TBNA）. Methods CT - guided TBNA was performed on 42 patients with enlarged mediastinal lymph nodes, which were admitted by our hospital from January 2009 to December 2011. Results 29 cases were suc- cessfully diagnosed by mediastinal lymph node biopsy, with diagnosis rate of 69.05%, in which malignant tumors ac- counted for a majority as 50% with 21 cases, while 13 cases remained unclear. None of the 42 surgeries was terminated by serious complications. Conclusions Mediastinal lymph nodes biopsy performed by CT- guided transbronchial needle aspiration is a worthy diagnostic technique, in disease diagnosis and tumor staging, with a high diagnosis rate.
出处
《航空航天医学杂志》
2014年第3期291-292,共2页
Journal of Aerospace medicine
关键词
胸部CT
电子支气管镜
纵隔淋巴结
针吸活检
Chest CT
bronchoscopy
mediastinal lymph node
needle aspiration biopsy
