摘要
目的探讨超声内镜引导下的针吸活检术(EUS-FNA)诊断肺部实质性及纵隔病变的可行性及安全性。方法用上部消化道奥林巴斯超声电子内镜EU-C2000,FNA细针,对10例毗邻食管的肺实质性及纵隔病变患者行EUS-FNA。结果7例患者均一次即获得足够标本,2例患者经再次活检而获得足够标本供病理学检查,1例因拒绝再次活检而失败。病理诊断为结核瘤3例,肺腺癌2例,小细胞癌1例,肺炎性假瘤2例,淋巴结核1例。除了自行停止的少许咯血和自行吸收的气胸外,未出现其他严重的与穿刺相关的并发症。结论EUS-FNA是诊断纵隔及肺部实质性病变的直接、安全、实用的检查方法。
[Objective] To access the feasibility, safety of endoscopic ultrasonography guided fine-needle aspiration（EUS-FNA）in patients with pulmonary and mediastinal diseases. [Methods] Using endosonography （EU-C2000） and a needle, EUS-FNA was performed in 10 patients. [Results] 7 patients was diagnosed with adequate specimen, 2 patients was diagnosed with another aspiration, 1 patient refused another aspiration. Pathological results revealed tuberculoma in 3 patients, small cell celcarcinoma in 1, and pulmonary inflammatory pseudotumor in 2. [Conclusion] EUS-FNA is a safe and useful method in diagnosis of pulmonary and mediastinal diseases.
出处
《中国内镜杂志》
CSCD
北大核心
2008年第1期82-84,87,共4页
China Journal of Endoscopy
关键词
肺实质
纵隔
针吸
超声胃镜检查
诊断
pulmonary parenchyma
mediastinum
needle aspiration
endosonography
diagnosis
