经支气管镜针吸活检术对纵隔及肺门病变的诊断价值

Diagnostic value of transbronchial needle aspiration for mediastinal and hilar lesions

目的分析经支气管镜针吸活检术(TBNA)在纵隔肿大淋巴结诊断中的可行性。方法收集2017年9月至2018年9月于周口市中心医院进行诊断的纵隔及肺门占位性病变患者100例,将其分为实验组和对照组,每组50例。实验组患者行支气管镜针吸活检术,对照组患者行外科胸腔镜诊断技术,分析两组患者的穿刺效果,并统计其在检测中的不良反应发生情况。结果实验组阳性39例,阳性率为78.0%,其中恶性肿瘤32例,占82.0%;对照组阳性43例,阳性率为86.0%,其中恶性肿瘤36例,占83.7%。两组阳性检测率比较差异未见统计学意义(P>0.05)。实验组不良反应发生率(28.0%)低于对照组(32.0%),但差异未见统计学意义(P>0.05)。结论经支气管镜针吸活检术对纵隔和肺门病变的诊断率高,操作安全,有较高的临床应用价值。

Objective To analyze the feasibility of performing transbronchial needle aspiration (TBNA) in the diagnosis of mediastinal lymph nodes. Methods One hundred patients with space-occupying lesions of mediastinum and hilum diagnosed in Zhoukou Central Hospital from September 2017 to September 2018 were selected. All the patients were divided into experimental group and control group, with 50 cases in each group. Patients in the experimental group underwent TBNA biopsy, while patients in the control group underwent surgical thoracoscopic diagnosis technique. The puncture effects of the two groups were analyzed, and the incidence of adverse reactions in the detection was counted. Results In the experimental group, 39 cases were positive, and the positive rate was 78.0%, of which 32 cases were malignant tumors, accounting for 82.0%. In the control group, 43 cases were positive, and the positive rate was 86.0%, of which 36 cases were malignant tumors, accounting for 83.7%. There was no significant difference in the positive detection rate between the two groups (P>0.05). The incidence of adverse reactions in experimental group (28.0%) was lower than that in control group (32.0%), but the difference was not statistically significant (P>0.05). Conclusions TBNA biopsy has high diagnostic rate, which is safe and has high clinical value for mediastinal and hilar lesions.