经纤维支气管镜行支气管粘膜下穿刺活检的应用价值

Application of transbronchial needle aspiration in the bronchial submucosa

目的 探讨经纤维支气管镜 (纤支镜 )行支气管粘膜下穿刺活检 (TBNA)的应用价值。方法 对 76例肺部疾病患者进行粘膜下TBNA检查 ,同时与刷检的组织细胞学对比分析。结果 76例患者TBNA的诊断符合率为 85 .5 % ( 65 /76) ,刷检为 5 5 .3 % ( 4 2 /76) ,其中TBNA对肺癌的诊断符合率为 78.0 % ( 3 9/5 0 ) ,刷检为 3 8.0 % ( 19/5 0 )。 5 2例患者 ( 68.4% )在穿刺部位有少量出血 ,其余患者均无其他严重并发症发生。结论 该技术是一种操作简便、安全、结果准确的临床实用检查手段 ,值得推广应用。

Objective To explore the applicable value of transbronchial needle aspiration (TBNA) in the bronchial submucosa. Methods TBNA biopsy was performed in 76 cases of pulmonary diseases, which had no endoscopically visible pathologic change. The results of TBNA were compared with that of brushing for cytological examination. Results The correct diagnosis of the pulmonary diseases was 85.5% (65/76) for TBNA and 55.3%(42/76) for brushing cytology, and the correct diagnosis of lung cancer was 78.0%(39/50) for TBNA, 38.0% (19/50) for brushing cytology. Slight bleeding at the penestrated site was observed in 52 patients and there were no other severe complications. Conclusion TBNA is a safe, simple and effective method in clinical application and could be used widely.