论文部分内容阅读
目的探讨经支气管针吸术(TBNA)在肺癌伴有纵隔淋巴结肿大及支气管外压性狭窄患者中的应用。方法 127例肺癌伴有纵隔淋巴结肿大及支气管外压性狭窄患者,在常规纤维支气管镜(纤支镜)检查下,予以TBNA获取标本进行细胞学涂片及(或)组织学切片检查。结果 127例肺癌患者中经纤支镜检查确诊111例(87.4%),其中TBNA确诊90例(70.9%),钳取活检确诊63例(49.6%),刷检确诊53例(41.7%),三种方法联合确诊率为87.4%(111/127),明显高于单纯钳取活检和刷检的确诊率(P<0.05)。26例仅依靠TBNA确诊,确诊率为20.5%(26/127)。结论 TBNA操作安全有效,对肺癌伴有纵隔淋巴结肿大及支气管外压性狭窄患者有较高诊断应用价值。
Objective To investigate the application of bronchial needle aspiration (TBNA) in patients with lung cancer with enlarged mediastinal lymph nodes and bronchial external pressure stenosis. Methods A total of 127 patients with lung cancer with enlarged mediastinal lymph nodes and bronchial external pressure stenosis were examined by cytology and / or histological examination under routine bronchofibroscopy. Results A total of 111 cases (87.4%) were diagnosed by fiberoptic bronchoscopy in 127 cases of lung cancer. Among them, 90 cases (70.9%) were diagnosed by TBNA, 63 cases (49.6%) were confirmed by forceps biopsy and 53 cases The combined diagnosis rate of the three methods was 87.4% (111/127), which was significantly higher than that of simple forceps biopsy and brush examination (P <0.05). Twenty-six patients were diagnosed by TBNA only, with a diagnosis rate of 20.5% (26/127). Conclusion TBNA is safe and effective, which has a high diagnostic value for patients with lung cancer with enlarged mediastinal lymph nodes and extra-bronchial stenosis.