摘要
目的探讨经纤维支气管镜(简称纤支镜)针吸活检(TBNA)对肺癌的诊断价值及其安全性。方法回顾性分析84例肺癌的纤支镜检查结果,均在纤支镜下按TBNA、钳检、刷检顺序采取标本。结果TBNA、钳检、刷检的阳性率分别为70.12%、53.16%、39.13%。纤支镜下外压型改变21例,增生型19例,浸润型13例,正常型31例。外压型中TBNA单独阳性6例,使纤支镜检查阳性率从52.14%(11/21)提高到81.11%(17/21)。27例肺周围结节或肿块的正常型中TBNA单独阳性7例,使阳性率从44.14%(12/27)提高到70.14%(19/27)。增生型或浸润型患者中,无TBNA单独阳性者。84例TBNA均未出现严重并发症。结论TBNA能提高肺癌纤支镜检查阳性率,操作安全,建议对镜下外压型及正常型肺癌加用TBNA检查。
【Objective】To evaluate the value and safety of transbronchial needle aspiration (TBNA) in the diagnosis of lung cancer. 【Methods】The results of diagnostic bronchoscopies in 84 patients with lung cancer were analyzed retrospectively. All patients had TBNA, forceps biopsy, and brush biopsy orderly. 【Results】The positive rate of TBNA, forceps biopsy, and brush biopsy was 70.12%, 53.16% and 39.13% separately. According to bronchoscopic findings, there were 21 cases of extrinsic compression type, 19 cases of tum...
出处
《中国内镜杂志》
CSCD
北大核心
2008年第10期1053-1055,共3页
China Journal of Endoscopy
关键词
纤支镜针吸活检
肺癌
transbronchial needle aspiration
lung cancer
