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内镜超声引导下细针穿刺术对纵隔良恶性病变的诊断价值

Diagnostic value of endoscopic ultrasonography guided fine-needle aspiration in identifying mediastinal benign and malignant lesions
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摘要 目的 探讨内镜超声引导下的细针穿刺术(EUS-FNA)对纵隔良恶性病变的诊断价值.方法 PentaxEG3630U超声内镜及22G穿刺针(Wilson-CooK),对22例纵隔占位患者行EUS-FNA.结果 EUS-FNA诊断为恶性肿瘤者15例,良性病变者6例,1例患者因未取得足够组织标本、后经手术确诊为小细胞癌.所有患者未出现任何与穿刺相关的并发症.结论 EUS-FNA在纵隔良恶性病变的诊断中是一准确、安全、实用的检查方法. Objective To evaluate the feasibility,safety and accuracy of endoscopic ultrasonography guided fine-needle aspiration(EUS-FNA) in patients with mediastinal benign and malignant lesions.Methods A linear array scanning endosonography (Pentax-EG3630U) and a 22-guage (Wilson-CooK) needle were used to perform EUS-FNA in 22 patients with mediastinal lesions.Results EUS-FNA revealed 15 patients with carcinoma and 6 cases with benign tumors,which were confirmed by mediastinoscopy.One patient was not diagnosed because of inadequate specimen.None of the patients had complications caused by any procedures.Conclusion EUS-FNA is safe,reliable and accurate in diagnosis of mediastinal benign and malignant lesions.
出处 《中国综合临床》 2014年第11期1178-1180,共3页 Clinical Medicine of China
关键词 内镜超声 细针穿刺术 纵隔病变 诊断 Endosonography Fine-needle aspiration Mediastinal disease Diagnosis
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