中国肺癌杂志2024，Vol.27Issue(2)：96-101,6.DOI:10.3779/j.issn.1009-3419.2024.102.07
全身麻醉及现场快速评价在EBUS-TBNA诊断肺癌中的价值
Role of General Anesthesia and Rapid On-site Evaluation in the Diagnosis of Lung Cancer with EBUS-TBNA
摘要
Abstract
Background and objective Lung cancer is a common malignant tumor of respiratory system.Endo-bronchial ultrasound-guided transbronchial needle aspiration(EBUS-TBNA)is a valuable tool for the diagnosis and staging of lung cancer.EBUS-TBNA is predominantly performed under local anesthesia or conscious sedation.However,the diagnostic performance of EBUS-TBNA under general anesthesia and in conjunction with rapid on-site evaluation(ROSE)remains un-certain.This study aims to investigate the value of general anesthesia and ROSE in the diagnosis of lung cancer with EBUS-TB-NA.Methods A retrospective analysis was conducted on 164 patients treated in the Department of Respiratory and Critical Care Medicine of The Affiliated Hospital of Southwest Medical University from January 2018 to December 2022.All patients were preoperatively suspected of lung cancer and underwent EBUS-TBNA.Based on whether they received general anesthesia and ROSE,the patients were divided into three groups:local anesthesia group(LA group)(n=54),general anesthesia group(GA group)(n=67)and general anesthesia with ROSE group(GA-ROSE group)(n=43).The puncture characteristics and diagnostic differences were analyzed among the groups.Results The number of lymph node puncture needles in the LA group was higher than in GA-ROSE group(P<0.01).The overall diagnostic rates of EBUS-TBNA for the three groups were 87.04%,89.55%and 90.70%,respectively,with malignant tumor diagnostic rates of 88.24%,88.89%and 94.74%.No statistically significant differ-ences were observed among the three groups(P>0.05).There were no instances of severe complications or adverse anesthesia reactions in any of the groups.Conclusion Compared to the combination of local anesthesia with intravenous analgesia and sedation,the implementation of EBUS-TBNA under general anesthesia,with or without ROSE,achieves equally accurate re-sults,and general anesthesia combined with ROSE can reduce in the number of lymph node puncture needles.关键词
肺肿瘤/超声引导下经支气管针吸活检/全身麻醉/快速现场评价Key words
Lung neoplasms/Endobronchial ultrasound-guided transbronchial needle aspiration/General anes-thesia/Rapid on-site evaluation引用本文复制引用
胡雨禾,李玉英..全身麻醉及现场快速评价在EBUS-TBNA诊断肺癌中的价值[J].中国肺癌杂志,2024,27(2):96-101,6.基金项目
本研究受西南医科大学校级科研项目(No.2022QN052)资助 This study was supported by the grant from Research Projects Fund of Southwest Medical University(No.2022QN052)(to Yuhe HU). （No.2022QN052）
