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超声内镜引导下经支气管针吸活检与经支气管针吸活检对肺与纵隔病变诊断价值的对比研究

吴齐 曹长琦 李士杰 闫炎 李香菊 阎石 吴楠 张集昌

北京大学学报(医学版)2013,Vol.45Issue(3):464-468,5.
北京大学学报(医学版)2013,Vol.45Issue(3):464-468,5.DOI:10.3969/j.issn.1671-167X.2013.03.024

超声内镜引导下经支气管针吸活检与经支气管针吸活检对肺与纵隔病变诊断价值的对比研究

Comparison study of endobronchial ultrasound-guided transbronchial needle aspiration and transbronchial needle aspiration for the diagnosis of hilar and mediastinal lesions

吴齐 1曹长琦 1李士杰 1闫炎 1李香菊 2阎石 3吴楠 3张集昌1

作者信息

  • 1. 北京大学肿瘤医院暨北京市肿瘤防治研究所,恶性肿瘤发病机制及转化研究教育部重点实验室 内镜中心,北京100142
  • 2. 北京大学肿瘤医院暨北京市肿瘤防治研究所,恶性肿瘤发病机制及转化研究教育部重点实验室 病理科,北京100142
  • 3. 北京大学肿瘤医院暨北京市肿瘤防治研究所,恶性肿瘤发病机制及转化研究教育部重点实验室 胸外二科,北京100142
  • 折叠

摘要

Abstract

Objective:To compare the values of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) and TBNA for the diagnosis of hilar and mediastinal lesions.Methods:The clinical data of 100 patients who underwent EBUS-TBNA (n =50) and TBNA (n =50) between January 2010 and May 2011 were retrospectively reviewed,and the results and complications were recorded.Results:A total of 121 lesions in the 100 patients were evaluated,the sample yeilds of EBUS-TBNA and TBNA were 90.6% and 78.9% and the diagnostic accuracy rates in the two groups were 90.0% and 72.0% (P =0.022),respectively.No major complications happened.The sensitivity,specificity and accuarcy of EBUS-TBNA were higher and the complication rate was not increased as compared with TBNA.Conclusion:EBUS-TBNA has a higher diagnostic yield for the evaluation of hilar and mediastinal lesions.

关键词

腔内超声检查/支气管镜检查/活组织检查,针吸/肺肿瘤

Key words

Endosonography / Bronchoscopy / Biopsy, needle / Lung neoplasms

分类

医药卫生

引用本文复制引用

吴齐,曹长琦,李士杰,闫炎,李香菊,阎石,吴楠,张集昌..超声内镜引导下经支气管针吸活检与经支气管针吸活检对肺与纵隔病变诊断价值的对比研究[J].北京大学学报(医学版),2013,45(3):464-468,5.

北京大学学报(医学版)

OA北大核心CSCDCSTPCD

1671-167X

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