Haas A R
Interventional Pulmonary Program, Division of Pulmonary Medicine and Critical Care, Jefferson Medical College of Thomas Jefferson University, Philadelphia, PA, USA.
Eur Respir J. 2009 Apr;33(4):935-8. doi: 10.1183/09031936.00025708.
The development of a convex probe endobronchial ultrasound (CP-EBUS) videobronchoscope to allow real-time transbronchial needle aspiration (TBNA) has been a significant advance in minimally invasive lung cancer staging and diagnosis. Several recent studies have demonstrated CP-EBUS-TBNA to have recovery rivalling that of the current gold standard, cervical mediastinoscopy. These same studies have indicated that the safety of this procedure has no reported complications. The present case study presents two infectious complications from full extension endobronchial ultrasound transbronchial needle aspiration and discusses possible aetiologies of these infections, as well as implications for future application of this technology.
一种用于实现实时经支气管针吸活检(TBNA)的凸阵探头支气管内超声(CP-EBUS)视频支气管镜的研发,是微创肺癌分期和诊断领域的一项重大进展。最近的几项研究表明,CP-EBUS-TBNA的取材成功率可与当前的金标准——颈部纵隔镜检查相媲美。这些研究还表明,该操作的安全性良好,尚无并发症报告。本病例研究报告了两例因全伸式支气管内超声经支气管针吸活检导致的感染并发症,并探讨了这些感染可能的病因,以及该技术未来应用的影响。