中国内镜杂志2024，Vol.30Issue(6)：83-88,6.DOI:10.12235/E20230473
支气管内超声引导下经血管针吸活检诊断肺门和纵隔病变的安全性和有效性
Safety and efficacy of EBUS-TVNA technology in diagnosis of hilum of lung and mediastinal lesions
吉木阿呷 1庞玲玲 2邹慎春 2于鹏飞2
作者信息
- 1. 青岛大学,山东 青岛 266071
- 2. 青岛大学附属烟台毓璜顶医院 呼吸与危重症医学科,山东 烟台 264000
- 折叠
摘要
Abstract
Objective To evaluate the diagnostic value of endobronchial ultrasound-transvascular needle aspiration(EBUS-TVNA)in hilum of lung and mediastinal lesions.Methods 10 cases of hilum of lung and mediastinal lesions who underwent EBUS-TVNA because vessels pass between the airway and lesions were selected from June 2021 to January 2023,the diagnostic rate and complications were retrospectively analyzed.Results Of the 10 patients,8 traversed the pulmonary artery or its branches,2 traversed aorta or superior vena cava.Specimens were successfully obtained from all patients and 8 of them got definitive diagnosis,including 6 malignancy and 2 benign lesions.The overall yield of EBUS-TVNA for hilum of lung and mediastinal lesions was 80.0%(8/10),the diagnostic sensitivity for malignancy was 85.7%(6/7),and the diagnostic specificity was 100.0%(3/3).The other 2 cases were not diagnosed,1 was diagnosed as bladder urothelial carcinoma by percutaneous lung puncture biopsy,and the other was classified as benign due to the reduced lesion after 6 months of follow-up.All of them had good tolerance to the operation,and no serious complications occurred.Conclusion EBUS-TVNA is a safe and effective technique for the diagnosis of hilum of lung and mediastinal lesions,it can be used as an effective auxiliary method to traditional ultrasound bronchoscopy techniques.关键词
经支气管镜腔内超声/支气管内超声引导下经血管针吸活检/纵隔/肺门/安全性/有效性Key words
endobronchial ultrasonography/endobronchial ultrasound-transvascular needle aspiration(EBUS-TVNA)/mediastinum/hilum of lung/safety/efficacy分类
医药卫生引用本文复制引用
吉木阿呷,庞玲玲,邹慎春,于鹏飞..支气管内超声引导下经血管针吸活检诊断肺门和纵隔病变的安全性和有效性[J].中国内镜杂志,2024,30(6):83-88,6.
