[经支气管针吸活检术在诊断纵隔及肺门结核性淋巴结病中的应用]
[Transbronchial needle aspiration in diagnosing mediastinal and hilar tuberculous lymphadenopathy].
作者信息
Rong Fu, Guo Su, Zuo Liuer, Chen Juanping
机构信息
The First People's Hospital, Shunde, Guangdong 528300 China.
出版信息
Zhonghua Jie He He Hu Xi Za Zhi. 2002 Jun;25(6):330-2.
OBJECTIVE
To study the application of transbronchial needle aspiration(TBNA) in the diagnosis of mediastinal and hilar tuberculous lymphadenopathy.
METHODS
Brochoscopic examination was carried out in 24 patients with computed tomography confirmed mediastinal and hilar lymphadenopathy, but without signs of lung or airway tuberculosis. TBNA was performed and at least two prominent lesions were biopsied. Cytological needle aspiration was done for all diseased sites, while some lesions were also sampled by histological needles.
RESULTS
Pathologic diagnosis was made in 18 patients showing tissue necrosis and granuloma, cases being acid fast positive. There were no serious complications.
CONCLUSION
TBNA is a useful and convenient technique in the diagnosis of mediastinal and hilar tuberculous lymphadenopathy.
目的
探讨经支气管针吸活检术（TBNA）在纵隔及肺门结核性淋巴结病诊断中的应用。
方法
对24例经计算机断层扫描证实有纵隔及肺门淋巴结肿大但无肺部或气道结核征象的患者进行支气管镜检查。行TBNA并对至少两个明显病变进行活检。对所有病变部位进行细胞针吸活检，同时对部分病变用组织学针进行取材。
结果
18例患者病理诊断为组织坏死及肉芽肿，抗酸染色阳性。无严重并发症发生。
结论
TBNA是诊断纵隔及肺门结核性淋巴结病的一种有用且便捷的技术。
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