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支气管内超声引导下经支气管针吸活检的技术要点

Technical aspects of endobronchial ultrasound-guided transbronchial needle aspiration.

作者信息

Kang Hyo Jae, Hwangbo Bin

机构信息

Department of Pulmonology, Center for Lung Cancer, National Cancer Center, Goyang, Korea.

出版信息

Tuberc Respir Dis (Seoul). 2013 Oct;75(4):135-9. doi: 10.4046/trd.2013.75.4.135. Epub 2013 Oct 29.

DOI:10.4046/trd.2013.75.4.135
PMID:24265641
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3833933/
Abstract

Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is becoming a standard method for invasive mediastinal staging and for the diagnosis of paratracheal and peribronchial lesions. It is essential to understand the technical aspects of EBUS-TBNA to ensure safe and efficient procedures. In this review, we discuss the practical aspects to be considered during EBUS-TBNA, including anesthesia, manipulation of equipment, understanding mediastinal ultrasound images, target selection, number of aspirations needed per target, sample handling, and complications.

摘要

支气管内超声引导下经支气管针吸活检术（EBUS-TBNA）正成为侵袭性纵隔分期及气管旁和支气管周围病变诊断的标准方法。了解EBUS-TBNA的技术要点对于确保操作安全、高效至关重要。在本综述中，我们讨论了EBUS-TBNA过程中需要考虑的实际问题，包括麻醉、设备操作、纵隔超声图像解读、靶点选择、每个靶点所需的穿刺次数、样本处理及并发症。

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本文引用的文献

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Methods for staging non-small cell lung cancer: Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines.非小细胞肺癌分期方法：肺癌的诊断与管理，第 3 版：美国胸科学会循证临床实践指南。
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Comparison of 21-gauge and 22-gauge aspiration needle in endobronchial ultrasound-guided transbronchial needle aspiration: results of the American College of Chest Physicians Quality Improvement Registry, Education, and Evaluation Registry.21 号和 22 号抽吸针在内支气管超声引导下经支气管针吸活检中的比较：美国胸科医师学会质量改进登记处、教育和评估登记处的结果。
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Rapid on-site cytologic evaluation during endobronchial ultrasound-guided transbronchial needle aspiration for diagnosing lung cancer: a randomized study.经支气管超声引导针吸活检术诊断肺癌时快速现场细胞学评估：一项随机研究。
Respiration. 2013;85(6):486-92. doi: 10.1159/000346987. Epub 2013 Apr 3.
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Rapid on-site cytologic evaluation during endobronchial ultrasound-guided transbronchial needle aspiration for nodal staging in patients with lung cancer.快速现场细胞学评估在肺癌患者支气管内超声引导经支气管针吸活检术的淋巴结分期中的应用。
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Lung. 2013 Feb;191(1):109-15. doi: 10.1007/s00408-012-9439-z. Epub 2012 Dec 4.
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Complications, consequences, and practice patterns of endobronchial ultrasound-guided transbronchial needle aspiration: Results of the AQuIRE registry.经支气管超声引导针吸活检术的并发症、后果和实践模式：AQuIRE 登记研究结果。
Chest. 2013 Apr;143(4):1044-1053. doi: 10.1378/chest.12-0350.
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Endobronchial ultrasound doppler image features correlate with mRNA expression of HIF1-α and VEGF-C in patients with non-small-cell lung cancer.经支气管超声多普勒图像特征与非小细胞肺癌患者 HIF1-α 和 VEGF-C mRNA 表达相关。
J Thorac Oncol. 2012 Nov;7(11):1661-7. doi: 10.1097/JTO.0b013e318265b4df.
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Endobronchial ultrasound skills and tasks assessment tool: assessing the validity evidence for a test of endobronchial ultrasound-guided transbronchial needle aspiration operator skill.支气管内超声技能和任务评估工具：评估支气管内超声引导经支气管针吸术操作者技能的测试的效度证据。
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Vascular image patterns of lymph nodes for the prediction of metastatic disease during EBUS-TBNA for mediastinal staging of lung cancer.肺癌纵隔分期中 EBUS-TBNA 时用于预测转移疾病的淋巴结血管图像模式。
J Thorac Oncol. 2012 Jun;7(6):1009-14. doi: 10.1097/JTO.0b013e31824cbafa.
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Suitability of endobronchial ultrasound-guided transbronchial needle aspiration specimens for subtyping and genotyping of non-small cell lung cancer: a multicenter study of 774 patients.经支气管超声引导针吸活检标本用于非小细胞肺癌分型和基因分型的适宜性：一项 774 例患者的多中心研究。
Am J Respir Crit Care Med. 2012 Jun 15;185(12):1316-22. doi: 10.1164/rccm.201202-0294OC. Epub 2012 Apr 13.