实用医学杂志2016，Vol.32Issue(8)：1280-1283,4.DOI:10.3969/j.issn.1006-5725.2016.08.024
EUBS-TBNA在肺癌诊断中的价值
Value of EBUS-TBNA in diagnosis of lung cancer and its complications
摘要
Abstract
Objective To investigate the value of EBUS-TBNA (endobronchial ultrasound-guided trans-bronchial needle aspiration) in diagnosis of lung cancer and analyze its complications. Methods A retrospective study was carried out in our hospitalfrom March 2013 to March 2015. A total of 171patients received C-TBNA (Con-ventional transbronchial needle aspiration) first and got negative results. Therefore, they received EBUS-TBNA next. Weanalyzedthe sensitivity, specificity, accuracy of malignancy with EBUS-TBNA and positive (malignant) lymph node sites biopsied with EBUS-TBNAand the incidence of its complications. Results Lung cancer was proven in 107 patients who had received EBUS-TBNA, while 16 were benign cases. Thirty-onenegative patients received CT guided needle biopsy or surgeryfor finally pathology. Based on above statistical data , we calculated EBUS-TBNA′s sensitivity, specificity and accuracy in 88.42%, 100.00%and 94.21%respectively. A totalof 818 lymph nodes were punctured by EBUS-TBNA, 408 were malignancy. The rate of diagnosis for malignancy was 49.88%. The complica-tioncontained 1 in hemorrhage, 1 in infectionand no life-threatening conditionandno death. Conclusion The value ofdiagnosis in lung cancerisrelatively high with EBUS-TBNAin safety and efficient.关键词
肺肿瘤/超声内镜引导下经支气管针吸活检/常规经支气管针吸活检/并发症Key words
Lung neoplasm/Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA)/C-TBNA/Complications引用本文复制引用
马煜辉,谭慧,黄云超,周永春,杨凯云,黄秋博..EUBS-TBNA在肺癌诊断中的价值[J].实用医学杂志,2016,32(8):1280-1283,4.基金项目
国家自然科学基金重点项目（编号U1202224）；国家自然科学基金资助项目 （）
