摘要
目的 探讨经过CT引导下经纤维支气管镜 (纤支镜 )针吸活检 (TBNA)的训练后 ,在日常纤支镜检过程中开展TBNA的方法和效果。方法 运用Wang氏纵隔淋巴结及穿刺定位方法 ,结合CT片定位方法对纵隔增大淋巴结进行定位 ,在常规纤支镜检查中利用TBNA方法分别对 10 0例患者的 15 2个纵隔增大淋巴结进行抽吸活检。结果 TBNA检查的诊断阳性率为 64 % ,与在CT引导下的检查结果 (61% )相比差异无显著性。结论 结合Wang氏定位法在CT引导下进行适当的训练 ,初学者可较快地掌握管腔外病灶在管腔内的定位。TBNA可成为纤支镜日常检查的一个重要组成部分。
Objective To evaluate the yield of transbronchial needle aspiration (TBNA) in a clinical routine bronscopy practice after training under the guide by CT scanning.Methods Using Wang TBNA System and CT scanning methods to define the site in airway for puncturing the enlarged mediastinal lymphnode. The positive rate of TBNA was 64%, almost equal to the positive rate (61%) of the method by operating directly under CT scanning.TBNA was performed on 100 consecutive patients with 152 enlarged mediastinal nodes undergoing diagnostic fiberoptic brochoscopy.Result The positive rate (64%) was equal to the positive rate (61%) under the CT guide.Conclusions CT guiding TBNA is very useful for training doctors to learn the TBNA technique, and TBNA can be done very well and play an important role in routine brochoscope practice.
出处
《中华结核和呼吸杂志》
CAS
CSCD
北大核心
2000年第1期37-39,共3页
Chinese Journal of Tuberculosis and Respiratory Diseases
