Division of General Thoracic and Foregut Surgery, Department of Surgery, University of Minnesota, Minneapolis, Minnesota 55455, USA.
Semin Thorac Cardiovasc Surg. 2010 Summer;22(2):150-4. doi: 10.1053/j.semtcvs.2010.08.006.
The relevance of endobronchial ultrasonography (EBUS) to thoracic surgeons is 2-fold: first, EBUS is an accurate and versatile diagnostic tool; second, EBUS is of importance to our specialty. The diagnostic performance of endobronchial ultrasonography (EBUS) is similar to that of mediastinoscopy, except for a lower negative predictive value for EBUS. Consequently, EBUS does not replace mediastinoscopy, but instead EBUS and mediastinoscopy are complementary. A thoracic surgeon proficient in EBUS has the ability to decide which tool or combination of tools to use to optimize patient care. The relevance of EBUS can be described in evolutionary terms: proficiency in EBUS exemplifies a new trait that can enhance our adaptability to the current environment. An indirect measure of the acquisition of this new skill by our specialty can be gleaned from an overview of original EBUS publications: nearly one-half are authored or coauthored by thoracic surgeons. EBUS is an excellent diagnostic tool available to thoracic surgeons to optimize patient care and an example of a skill that may enhance our survival as a surgical specialty.
经支气管超声（EBUS）对胸外科医生的相关性有两方面：首先，EBUS 是一种准确且用途广泛的诊断工具；其次，EBUS 对我们的专业很重要。除了 EBUS 的阴性预测值较低外，经支气管超声（EBUS）的诊断性能与纵隔镜检查相似。因此，EBUS 并没有取代纵隔镜检查，而是两者相辅相成。精通 EBUS 的胸外科医生有能力决定使用哪种工具或工具组合来优化患者的治疗效果。EBUS 的相关性可以用进化术语来描述：精通 EBUS 体现了一种新的特质，可以增强我们对当前环境的适应能力。从对原始 EBUS 出版物的概述中可以间接了解到我们专业对这项新技能的掌握情况：近一半的出版物是由胸外科医生撰写或合作撰写的。EBUS 是一种可供胸外科医生使用的优秀诊断工具，可以优化患者的治疗效果，并且是一种可能增强我们作为外科专业生存能力的技能示例。
