超声内镜引导下经支气管针吸活检术与支气管针吸活检术对纵隔及肺门占位性病变诊断价值的研究

Diagnostic Value of Ultrasound Endoscopy-guided Transbronchial Needle Aspiration Biopsy Versus Bronchial Nee⁃dle Aspiration Biopsy in the Diagnosis of Mediastinal and Hilar Space-occupying Lesions

目的:探讨分析超声内镜引导下经支气管针吸活检术(EBUS-TBNA)与经支气管针吸活检术(cTBNA)对纵隔及肺门占位性病变的诊断价值,为临床提供参考。方法:选取2019年1月—2021年12月广州中医药大学金沙洲医院收治的50例胸部CT提示纵隔及肺门占位性病变患者作为研究对象,采用随机数表法分为两组。EBUS-TBNA组(n=25),进行EBUS-TBNA检查;c TBNA组(n=25),进行c TBNA检查。结果:EBUS-TBNA组敏感度、准确度比cTBNA组高,差异有统计学意义(χ^(2)=4.059、3.947,P<0.05)。EBUS-TBNA组良性疾病检出率比c TBNA组高,差异有统计学意义(χ^(2)=4.412,P<0.05)。结论:在纵隔及肺门占位性病变诊断中,EBUS-TBNA的可靠性、敏感性更让人满意,其诊断价值更高。

Objective:To investigate and analyze the diagnostic value of ultrasound endoscopy-guided transbronchial needle as⁃piration biopsy(EBUS-TBNA)versus transbronchial needle aspiration biopsy(cTBNA)for mediastinal and hilar space-occupying lesions.Methods:50 patients with chest CT suggestive of mediastinal and hilar occupying lesions admitted to the hospital from January 2019 to December 2021 were selected for the study and divided into two groups according to random number table method.EBUS-TBNA group(n=25)underwent EBUS-TBNA examination,and cTBNA group(n=25)underwent cTBNA examination.Results:The EBUS-TBNA group was more sensitive and accurate than the cTBNA group,and the difference was statistically sig⁃nificant(χ^(2)=4.059,3.947,P<0.05).The detection rate of benign disease was higher in the EBUS-TBNA group than in the cTBNA group,and the difference was statistically significant(χ^(2)=4.412,P<0.05).Conclusion:The reliability and sensitivity of EBUS-TBNA are more satisfactory in the diagnosis of mediastinal and hilar occupying lesions,and its diagnostic value is higher.