中国内镜杂志2017，Vol.23Issue(9)：1-5,5.DOI:10.3969/j.issn.1007-1989.2017.09.001
全身麻醉下超声支气管镜引导针吸活检术的临床应用价值
Clinical application of ultrasound bronchoscopy guided needle aspiration biopsy under general anesthesia
摘要
Abstract
Objective To explore the application of transbronchial needle aspiration biopsy (EBUS-TBNA) combined with ultrasound bronchoscopy under the general anesthesia (intravenous anesthesia combined with laryngeal mask). Methods 103 patients with EBUS-TBNA from June 2015 to October 2016 were randomly divided into local anesthesia group and general anesthesia group. The anesthesia group was anesthetized with intravenous anesthesia combined with laryngeal mask, local anesthesia group with conventional tetracaine local anesthesia. The differences in the average number of puncture needles, the diagnosis rate, the operation time, the complications and the comfort of each group were analyzed retrospectively. Results The average number of puncture needle in each group was 5.6 times, and the local anesthesia group was 3.1 times. The diagnosis rate of general anesthesia group was 94.12% and local anesthesia group was 78.85%. There was significant difference between the two groups (χ2 = 5.11, P = 0.024). The average operation time in the general anesthesia group was (14.61 ± 1.52), the local anesthesia group was (32.52 ± 4.14), they had significant difference (t = 29.01, P = 0.000). The number of patients in bleeding and cough of the general anesthesia group were lower than those in the local anesthesia group (χ2 = 4.31, 103.00, P = 0.038, 0.000, respectively). Conclusions EBUS-TBNA under general anesthesia has high diagnostic rate, shortoperating time, painlessness, high comfort and reduce operational risk, worthy of promoting clinical application.关键词
全身麻醉/超声支气管镜引导下针吸活检术/无痛/诊断率/操作风险Key words
general anesthesia/ultrasound bronchoscopy guided needle aspiration biopsy/painless/diagnosis rate/operational risk分类
医药卫生引用本文复制引用
顾兴,颜西刚,王琰,张红军,刘伟,金发光,房延凤..全身麻醉下超声支气管镜引导针吸活检术的临床应用价值[J].中国内镜杂志,2017,23(9):1-5,5.基金项目
国家公益性行业科研专项(No:201402024) （No:201402024）
