摘要
目的:探讨经支气管镜检查联合针吸活检术(transbronchial needle aspiration,TBNA)在肺癌诊断中的临床应用价值。方法:回顾性总结芜湖市第二人民医院2014年1月~2015年6月最终病理确诊为肺癌的58例患者临床资料,对行常规支气管镜检查(刷检、支气管肺泡灌洗及活检)联合经支气管针吸活检术取得的阳性结果进行分析。结果:58例患者均行常规支气管镜检查及TBNA检查,其中经TBNA明确诊断42例(72.41%),常规刷检、支气管肺泡灌洗及活检确诊肺癌16例(27.59%),TBNA联合常规支气管镜检查确诊肺癌49例,阳性率为84.48%(49/58)。结论:TBNA在肺癌及纵膈淋巴结转移的诊断中具有较高的临床价值,联合检查可明显提高阳性率,且安全性高。
Objective: To assess the clinical value of conventional bronchoscopy in combination with transbronchial needle aspiration( TBNA) in the diagnosis of lung cancer.Methods: Positive findings were retrospectively examined in the biopsies obtained and pathologically confirmed in 58 lung cancer patients admitted to Wuhu No.2 People's Hospital between January 2014 and June 2015,and received conventional bronchoscopy( bronchial brush biopsy,bronchial lavage and biopsy) plus transbronchial needle aspiration biopsy. Results: Of the 58 patients,42( 72. 41%) were confirmed by TBNA,16( 27.59%) by regular brushing,bronchial lavage and lung biopsy.Combined conventional bronchoscopy with TBNA revealed positive findings in 49 cases( 84.48%).Conclusion: Simple TBNA may better reveal the status of mediastinal lymph node metastasis in lung cancer,and combined conventional bronchoscopy with TBNA can improve accuracy diagnosis for the disease.
出处
《皖南医学院学报》
CAS
2016年第5期451-452,456,共3页
Journal of Wannan Medical College
关键词
气管镜
经支气管针吸活检术
肺癌
纵膈淋巴结转移
bronchoscopy
transbronchial needle aspiration biopsy
lung cancer
mediastinal lymph node metastasis