支气管镜对叶间淋巴结的诊断价值

Value of bronchoscopy in the diagnosis of interfoliaceous lymph nodes

目的 评价经支气管镜针吸活检在诊断叶间淋巴结（11组淋巴结）的临床应用价值。方法 对2011年10月-2014年10月胸部CT诊断的周围型肺占位并叶间淋巴结肿大的69例患者进行经支气管镜针吸活检（TBNA）及手术、胸腔镜检查,回顾性分析和总结TBNA及手术、胸腔镜（金标准）所获取的11组淋巴结病理结果,评价TBNA的优势及诊断准确率。结果 69例患者均接受了TBNA及手术和（或）胸腔镜检查并取得病理结果。TBNA穿刺成功率100%,阳性率78.3%,无并发症发生,手术、胸腔镜的阳性率为81.2%。与TBNA比较,两者的敏感性差异无统计学意义（P〉0.05）。结论 TBNA是诊断肺癌叶间淋巴结（11组）转移安全、实用的技术。

Objective To evaluate the clinical application value of transbronchial needle aspiration in the diagnosis of interfoliaceous lymph nodes （11 groups of lymph nodes）. Methods 69 patients with peripheral lung occupying combined with enlarged interfoliaeeous lymph nodes defined by thoracic CT who were admitted in our hospital from October 2011 to October 2014 were given transbronchial needle aspiration（TNBA）, operation and thoracoscopy and the obtained pathological results of 11 groups of lymph nodes by TBNA, operation and thoracoscopy were retrospectively analyzed and concluded. The advantages and diagnostic accuracy of TBNA was evaluated. Results 69 patients were all given TBNA, operation and （or） thoracoseopy and the pathological results were obtained. The success rate of TBNA puncture was 100% with 78.3% positive rate and no complications were found, the positive rate of operation and thoracoscopy was 81.2%. No statistical differences were presented in the sensitivity comparing with TBNA（P〉0.05）. Conclusion TBNA is a safe and applicable technique to diagnose the interfoliaceous lymph nodes（11 groups） metastasis of lung cancer.