超声内镜引导下经支气管针吸活检术在肺及纵隔疾病诊断中的应用
目的探讨超声支气管镜引导下经支气管针吸活检术（EBUS-TBNA）在肺及纵隔疾病中的诊断价值。方法对50例经胸部CT发现肺门-纵隔淋巴结肿大和（或）气管、支气管旁肿物而行EBUS-TBNA患者的临床资料进行回顾性分析,计算其诊断肺及纵隔病变的敏感度、特异度和准确度。结果 50例患者中明确诊断44例,包括恶性病变36例,良性病变8例,其中诊断纵隔淋巴结结核3例、结节病3例、临床诊断为慢性非特异性炎症2例。共穿刺67组淋巴结或肿块,每组平均穿刺2~4针。EBUS-TBNA对肺及纵隔恶性肿瘤诊断的敏感度、特异度和准确度分别为92.3%、100%和94%,阳性预测值和阴性预测值分别为100%和78.6...
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| Published in | 山东医药 Vol. 57; no. 45; pp. 65 - 67 |
|---|---|
| Main Author | |
| Format | Magazine Article |
| Language | Chinese |
| Published |
山东大学第二医院,济南,250033
2017
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1002-266X |
| DOI | 10.3969/j.issn.1002-266X.2017.45.021 |
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| Abstract | 目的探讨超声支气管镜引导下经支气管针吸活检术（EBUS-TBNA）在肺及纵隔疾病中的诊断价值。方法对50例经胸部CT发现肺门-纵隔淋巴结肿大和（或）气管、支气管旁肿物而行EBUS-TBNA患者的临床资料进行回顾性分析,计算其诊断肺及纵隔病变的敏感度、特异度和准确度。结果 50例患者中明确诊断44例,包括恶性病变36例,良性病变8例,其中诊断纵隔淋巴结结核3例、结节病3例、临床诊断为慢性非特异性炎症2例。共穿刺67组淋巴结或肿块,每组平均穿刺2~4针。EBUS-TBNA对肺及纵隔恶性肿瘤诊断的敏感度、特异度和准确度分别为92.3%、100%和94%,阳性预测值和阴性预测值分别为100%和78.6%。EBUS-TBNA对纵隔及肺内病变的诊断敏感度为88%,特异度为100%。患者均未出现严重并发症。结论 EBUS-TBNA在肺及纵隔恶性肿瘤及不明原因肺门-纵隔淋巴结肿大等疾病诊断方面有较高的敏感度、特异度和准确度,且并发症少。 |
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| AbstractList | 目的探讨超声支气管镜引导下经支气管针吸活检术（EBUS-TBNA）在肺及纵隔疾病中的诊断价值。方法对50例经胸部CT发现肺门-纵隔淋巴结肿大和（或）气管、支气管旁肿物而行EBUS-TBNA患者的临床资料进行回顾性分析,计算其诊断肺及纵隔病变的敏感度、特异度和准确度。结果 50例患者中明确诊断44例,包括恶性病变36例,良性病变8例,其中诊断纵隔淋巴结结核3例、结节病3例、临床诊断为慢性非特异性炎症2例。共穿刺67组淋巴结或肿块,每组平均穿刺2~4针。EBUS-TBNA对肺及纵隔恶性肿瘤诊断的敏感度、特异度和准确度分别为92.3%、100%和94%,阳性预测值和阴性预测值分别为100%和78.6%。EBUS-TBNA对纵隔及肺内病变的诊断敏感度为88%,特异度为100%。患者均未出现严重并发症。结论 EBUS-TBNA在肺及纵隔恶性肿瘤及不明原因肺门-纵隔淋巴结肿大等疾病诊断方面有较高的敏感度、特异度和准确度,且并发症少。 R734.2; 目的 探讨超声支气管镜引导下经支气管针吸活检术(EBUS-TBNA)在肺及纵隔疾病中的诊断价值.方法 对50例经胸部CT发现肺门-纵隔淋巴结肿大和(或)气管、支气管旁肿物而行EBUS-TBNA患者的临床资料进行回顾性分析,计算其诊断肺及纵隔病变的敏感度、特异度和准确度.结果 50例患者中明确诊断44例,包括恶性病变36例,良性病变8例,其中诊断纵隔淋巴结结核3例、结节病3例、临床诊断为慢性非特异性炎症2例.共穿刺67组淋巴结或肿块,每组平均穿刺2~4针.EBUS-TBNA对肺及纵隔恶性肿瘤诊断的敏感度、特异度和准确度分别为92.3%、100%和94%,阳性预测值和阴性预测值分别为100%和78.6%.EBUS-TBNA对纵隔及肺内病变的诊断敏感度为88%,特异度为100%.患者均未出现严重并发症.结论 EBUS-TBNA在肺及纵隔恶性肿瘤及不明原因肺门-纵隔淋巴结肿大等疾病诊断方面有较高的敏感度、特异度和准确度,且并发症少. |
| Author | 冯菲菲;程鹏;王超超;王永彬;车晓文;牛瑞 |
| AuthorAffiliation | 山东大学第二医院,济南250033 |
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| Keywords | 纵隔淋巴结 肺癌 超声内镜引导下经支气管针吸活检术 肺门淋巴结 |
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| Snippet | 目的探讨超声支气管镜引导下经支气管针吸活检术（EBUS-TBNA）在肺及纵隔疾病中的诊断价值。方法对50例经胸部CT发现肺门-纵隔淋巴结肿大和（或）气管、支气管旁肿物而行EBUS-TBNA患者的临床资料进行回顾性分析,计算其诊断肺及纵隔病变的敏感度、特异度和准确度。结果... R734.2; 目的 探讨超声支气管镜引导下经支气管针吸活检术(EBUS-TBNA)在肺及纵隔疾病中的诊断价值.方法 对50例经胸部CT发现肺门-纵隔淋巴结肿大和(或)气管、支气管旁肿物而行EBUS-TBNA患者的临床资料进行回顾性分析,计算其诊断肺及纵隔病变的敏感度、特异度和准确度.结果... |
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| Title | 超声内镜引导下经支气管针吸活检术在肺及纵隔疾病诊断中的应用 |
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