超声内镜引导下经支气管针吸活检术在胸外科的应用进展

Application Progress of Endobronchial Ultrasound Guided Tranbronchial Needle Aspiration in Thoracic Surgery

超声内镜引导下经支气管针吸活检术(EBUS-TBNA)是近10年才发展起来的新技术,在美国早已被推荐为肺癌术前淋巴结分期的重要手段,成为肺癌纵隔分期的新标准。通过大量的临床资料分析,EBUS-TBNA是一种诊断准确性较高、手术安全性好的新方法 ,而且在某些胸部疾病诊断价值已得到公认。本文就EBUS-TBNA在肺癌的早期诊断、中晚期肺癌诊断和分期的应用,EBUS-TBNA与CT、PET、纵隔镜等传统检查之间的关系,以及在上腔静脉综合征的应用价值和近年来EBUS-TBNA技术在胸部良性病变中的应用进展予以综述。

Endobronchial ultrasound guided tranbronchial needle aspiration （EBUS-TBNA） is a new technology developed in the past 10 years. In the USA, EBUS-TBNA has been recommended as an important means for preoperative lymph node staging of lung cancer, and becomes a new standard for mediastinal staging of lung cancer. A large number of clinical data shows that EBUS-TBNA is a novel approach which owes the advantages of accuracy in diagnosis and safety in operating. What＇s more, its value in the diagnosis of some disease in chest has been widely recognized. The aim of this article is to review the current application of EBUS-TBNA in the diagnosis of early lung cancer, diagnosis and tumor staging of advanced lung cancer, the relationship between EBUS-TBNA and traditional inspection including CT, positron emission tomography/computed tomography （PET） and mediastinoscopy, and the application value of EBUS-TBNA for superior vena cava syndrome and some non-neoplastic diseases.