联合带鞘管的支气管腔内超声径向探头技术及超声支气管镜弹性成像技术诊断肺癌一例并文献复习

Analysis of EBUS-GS and EBUS-TBNA in Diagnosis of 1 Case of Patient with Lung Cancer

目的探讨采用带鞘管的支气管腔内超声径向探头技术(EBUS-GS)联合超声支气管镜超声弹性成像技术(EBUS-TBNA)在肺癌诊断及纵隔及肺门淋巴结分期中的应用价值。方法对2015年6月10日呼吸与危重症医学科开展的1例进行EBUS-TBNA和EBUS-GS诊断的病例的资料进行分析,并结合文献复习。结果对患者开启弹性成像超声模式,肿大淋巴结为混合型,选取主导蓝色区域,测量最长直径分别为18.0 mm,行EBUS-TBNA术,共穿刺3针,病理结果回报后考虑为肺癌IV期,不适宜手术治疗,完善了基因检测后给予内科保守治疗。结论EBUS-GS引导下经支气管肺活检术联合EBUS-TBNA是一种安全有效的微创诊断方法,在肺癌诊断及术前淋巴结分期方面意义重大,值得进一步研究推广。

Objective To discuss the application value of EBUS-GS and EBUS-TBNA in diagnosis of 1 case of patient with lung cancer and mediastinum and lymph node staging. Methods 1 ease diagnosed with EBUS-TBNA and EBUSGS in the department of respiration and critical care medicine on June 10, 2015 were analyzed and reviewed combined with literatures. Results The development of EBUS-TBNA showed that the swelling lymph code is mixture, and the light blue area was selected, and the longest diameter was 18.0 mm, and the EBUS-TBNA was carried out and the pathological results showed the disease might be lung cancer in the IV stage, and the operative treatment is inappropriate, and the internal conservative treatment was given after the improvement of gene test. Coclusion The transbronchial lung biopsy and EBUS-TBNA guided by EBUS-TBNA is a safe and effective minimally invasive diagnostic method, which is of important significance in the diagnosis of lung cancer and preoperative lymph node staging, and it is worth further research and promotion.