摘要
目的探讨经支气管针吸活检术(TBNA)在肺部恶性肿瘤诊断中的应用价值及其安全性。方法对管腔内无明显新生物的肺内占位性病变及单纯表现为纵隔淋巴结肿大的74例患者行TBNA,同时行钳检、刷检以作比较。结果74例患者最终均确诊为肺部恶性肿瘤;61例管腔内轻度异常者3种检查阳性率:TBNA78.69%,钳检44.26%,刷检22.95%(均为P<0.05);13例管腔内未见异常者均经TBNA确诊。14例出现穿刺孔少量溢血,其余均无并发症。结论TBNA在肺部恶性肿瘤诊断中具有较高的应用价值,且安全性好。
Objective To explore the safety and application value of transbronchial needle aspiration （ TBNA） in the diagnosis of malignant lung tumor. Methods 74 patients who suffered either lung occupying lesion without obvious neoplasms in the lumens or enlargement of mediastinal lymph node received TBNA and also received ring clamp biopsy and brush biopsy. Results 74 patients were diagnosed as malignant lung tumor. 61 patients had paranormal lesion in the lumens, with the positive rate of TBNA was 78.69%, while that of ring clamp biopsy was 44.26＊/0 and that of brush biopsy was 22.95% （ P 〈 0. 05 for each ）. 13 patients without lesions in the lumens were finally diagnosed through TBNA. Any complication occurred in the rest of the patients except that 14 patients occurred manipulus haemorrhage in the puncture orifice. Conclusion TBNA is safe and useful for diagnosing malignant lung tumor.
出处
《中国医药》
2006年第6期366-367,共2页
China Medicine
