经纤维支气管镜纵隔、肺针吸活检

TRANSBRONCHOSCOPE NEEDLE ASPIRATION: APPLICATION IN LUNG AND MEDIASTINUM LESION

目的 :评价经纤维支气管镜纵隔、肺针吸活检技术的安全性及应用价值。方法 :采用X线透视定位 ,或结合及CT片解剖学标志进行定位应用OlympusNA -IC活检针经纤维支气管镜对病灶进行穿刺活检。结果 :15例中有 13例均能作出定性诊断 :鳞癌 5例 ,腺癌 4例 ,小细胞未分化癌 2例 ,检出恶性细胞 1例、倾向于淋巴瘤 1例。 1例未能确诊 ,后行经皮肺穿刺活检确诊为结核。另有 1例结合CT、病史及随访确诊为纵隔包裹积液。除 4例可见穿刺针孔少量溢血外所有病例均无其他并发症。结论 :经纤支镜纵隔、肺针吸活检是一种安全的活检技术 ,可为大气道旁的纵隔或肺部病灶的诊断提供有意义活组织标本。

Objective:To evaluate the safety and clinic value. Method:TBNA was guided by X-ray or the picture of CT.15 patients under went TBNA using Olympus XT 40 fiberebronchoscope and NA-1C needle.Results:13 of 15 patients reach final diagnosis:5 cases of squamous carcinoma,4 cases of adenocarcinoma,2 cases of small cell lung cancer,1 case of lymphoma.1 case can not reach final diagnosis,and was finally diagnosed as tuberculosis through percuteaneous needle biopsy.With the datum of history,CT and TBNA.1 case was diagnosed as wrapped pleural effusion.Pneumothorax,bleeding and other complications were not found.Conclusions:TBNA is safe and valuable for lung and mediastinum lesion.